[PDF] Colorado Hospital Cost Shift Analysis eBook

Author :
Publisher :
Page : pages
File Size : 30,97 MB
Release : 2020
Category : Hospitals
ISBN :

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Achieving universal access to health care in Colorado is vital and a goal shared by policymakers, hospitals, providers, advocates, insurance carriers, business groups and, most importantly, Coloradans. Historically, one driver of high costs was that health care providers had to recoup losses from uncompensated care and underpayment by public programs, like Medicaid, by charging other people higher prices. They did that by cost shifting: increasing costs for people who were insured in the private marketplace to cover shortfalls from public payers. The mechanisms put in place in 2009 to course correct rising health care costs surpassed initial hospital projected savings. Yet, since these changes have been implemented, we have not seen cost-shifting decrease.

Author : Colorado Hospital Transformation Program
Publisher :
Page : 0 pages
File Size : 20,36 MB
Release : 2016
Category : Hospitals
ISBN :

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The State of Colorado Department of Health Care Policy and Financing will seek approval from the federal Centers for Medicare and Medicaid Services (CMS) for Section 1115 waiver authority to embark on a five year demonstration to implement hospital-led strategic initiatives through the establishment of a delivery system reform incentive payment (DSRIP) program. The state will leverage hospital supplemental payment funding generated through existing hospital provider fees authorized under the Colorado Health Care Affordability Act of 2009. These payments will be used as incentives in a statewide hospital transformation program designed to improve patient outcomes through care redesign and integration with community- based providers, lower Medicaid costs through reductions in avoidable care, and prepare the state's hospitals for future value-based payment environments.

Author : Colorado. Governor's Office of State Planning and Budgeting. Research and Evidence-Based Policy Team
Publisher :
Page : pages
File Size : 28,45 MB
Release : 2018
Category : Health care reform
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The Research and Evidence-Based Policy (REP) team in the Governor's Office of State Planning and Budgeting(OSPB) has reviewed programs in the Results First health policy area. The team has developed a program inventory of programs/services delivered in the state, ranked them on their predicted effectiveness based on national/state research, and estimated the benefits of these programs. Contrary to prior Results First reports, the traditional cost-benefit analysis could not be performed because limited cost data for health programs/services is available at the state level. Despite costs not being included, the team has included the projected monetary benefits of health programs,which are typically accrued over the lifetime of an individual receiving services.The REP team is reporting on the benefits of the programs but notes that without better cost data at the state level, it is difficult to get a comprehensive picture of whether these programs are cost-effective. The program inventories can be used though to determine whether a program is effective based on national and/or state research.