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CHASE Board Meeting
October 22, 2019
Nancy Dolson Department of Health Care Policy & Financing
Hospital Transformation Program
2
- Timeline
- Community Advisory Council
- Proposed Rural Support Fund
CHASE Board Meeting October 22, 2019 Nancy Dolson Department of - - PowerPoint PPT Presentation
CHASE Board Meeting October 22, 2019 Nancy Dolson Department of - - PowerPoint PPT Presentation
CHASE Board Meeting October 22, 2019 Nancy Dolson Department of Health Care Policy & Financing Hospital Transformation Program Timeline Community Advisory Council Proposed Rural Support Fund 2 HTP Timeline Stakeholder
SLIDE 2
SLIDE 3
HTP Timeline
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*assuming 3/31/20 SPA approval by CMS
Stakeholder Engagement Final Reports from Hospitals Public Notice of SPA Draft of SPA (9/30) Draft of 1115 Waiver (10/30) Stakeholder Engagement Medical Services Board (MSB) public rule review meeting Waiver public comment period ends Final draft of SPA submitted to CMS Section 1115 waiver submitted to CMS MSB Initial approval (1/10/20) MSB final adoption (2/14/20) Rule effective date (3/30/20) Hospitals begin application* (4/15/20) 31 Jul
Sept- Oct
30 Sep 31 Dec
1 Apr
2019
Aug Nov Dec Jan 2020 – Apr 2020
Stakeholder Engagement Public Comments Scoring Methodology Measures Specifications Collection of Baseline Data Participating hospital application Stakeholder Engagement SPA Feedback & Comments Public Notice of 1115 Waiver Hospital Reporting Milestones 1115 waiver budget neutrality completed 1115 waiver special terms and conditions finalized
SPA
Effective Date
10/1/19
SLIDE 4
HTP Waiver Timeline
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- Public Notice November 10
- Public hearings
➢ CHASE ➢ Medical Care Advisory Committee ➢ Webinar
- Waiver submission to CMS December 31
- Federal public notice 30 days
- Federal decision making minimum 45 days
SLIDE 5
HTP Community Advisory Council
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- https://www.colorado.gov/pacific/hcpf/HTP-
Community-Advisory-Council
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HTP Proposed Rural Support Fund
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- See handout
- Funding to support hospitals to prepare for future
value-based payment environments
- $12 million per year, each of five years of waiver
- Critical Access and non-resort rural hospitals
- Funds to hospitals with most financial distress
based on evaluation of financial and utilization information
SLIDE 7
HTP Proposed Rural Support Fund
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- Questions
➢ Determining which hospitals will receive funds ➢ Amount of funds to hospitals ➢ Other?
- Stakeholder feedback
➢ CHASE Board ➢ Rural Health Center Conference, HTP Rural Hospital Workgroup, Western Healthcare Alliance, Eastern Plains Healthcare Consortium, others
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Hospital Expenditure Report
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The hospital expenditure report must include, but not be limited to: (a) A description of the methods of analysis and definitions of report components; (b) Uncompensated care costs by major payer group; and (c) The percentage that each of the following categories contributes to overall expenses of hospitals: (I) Delivery of inpatient health care and services by major payer group; (II) Delivery of outpatient health care and services by major payer group and site location; (III) Administrative costs; (IV) Capital construction costs and associated bond liabilities; (V) Maintenance; (VI) Capital expenditures; (VII) Personnel services; (VIII) Uncompensated care by major payer group; and (IX) Other expenditure categories, as determined by the state department.
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Hospital Expenditure Report
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- January 15, 2020 report
➢ Current activities and implementation progress ➢ No individual hospital data
- Subsequent annual reports beginning January 2021
➢ Include all required information ➢ Hospitals have 15 days to review the report and underlying data prior to publication ➢ Also, data to be used for cost shift analysis in CHASE annual report
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Hospital Expenditure Report
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- Executive Summary with Overview and Key Findings
- Introduction with Purpose and Background
- Methodology
➢ Statement of methods, Peer Groups, Regionality, and Limitations
- Uncompensated Care
➢ Bad Debt and Charity Care
- Expenditure Categories
- Appendix
➢ Compiled hospital data and definitions of the report’s components
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Hospital Expenditure Report
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- Peer groups
➢ 25 and fewer licensed beds ➢ 26 to 90 licensed beds ➢ 91 and more licensed beds
- Regionality
➢ Division of Insurance rating areas
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DOI Insurance Rating Areas
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SLIDE 13
Hospital Expenditure Report
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Thank You
Nancy Dolson Special Financing Division Director Department of Health Care Policy & Financing nancy.dolson@state.co.us