CHASE Board June 2019 Nancy Dolson Department of Health Care - - PowerPoint PPT Presentation

CHASE Board

June 2019

Nancy Dolson Department of Health Care Policy and Financing

Hospital Transformation Program

• Refer to CHASE HTP update memo
• Additional materials for your information
• CHASE HTP work to date summary
• CHA response letter
• Advocates Response to HTP Measures Draft
• CHA HTP Letter

2

HB 19-1001 Hospital Transparency Measures to Analyze Efficacy

• Hospitals
• Audited financial statements or equivalent for hospital

systems

• Medicare Cost Reports
• Utilization and staffing statistics
• Charges, contractual allowances, bad debt and charity

care by payer type

• Operating expenses, revenue, margins and other financial

information

• Hospital and physician group acquisition and affiliation

transactions

3

HB 19-1001 Hospital Transparency Measures to Analyze Efficacy

• General acute care hospitals
• May exempt psychiatric, long term care, rehabilitation,

and/or critical access hospitals

• Historic Reporting: Fiscal Years 2011-12 through current
• Audited financial statements (or equivalent) and Cost

Reports

• Utilization and other reporting items as available

4

HB 19-1001 Hospital Transparency Measures to Analyze Efficacy

• Hospital Expenditure Report
• Annually beginning January 2020
• Department develop in consultation with CHASE Board
• May be included in CHASE Annual Report, subject to

CHASE Board approval

• CHASE Board
• Calculate cost shift estimates for CHASE Annual Report

using data and analysis resulting from HB 19-1001

5

HB 19-1001 Implementation

• Approximate dates
• June to July
• Stakeholder engagement
• Rule development
• July to September
• Data collection with historic data focus
• Financial statements and cost reports first
• October to January
• Report development and Board consultation
• Hospital report review
• Report publication

6

HB 19-1320 Hospital Community Benefit Accountability

• Hospitals
• Tax exempt hospitals, Denver Health and University

Hospital required

• Critical access and long term care hospitals not required
• Others encouraged and may voluntarily report
• Public community benefit meetings annually
• Community Health Needs Assessment every three years
• Community benefit implementation plan annually

7

HB 19-1320 Hospital Community Benefit Accountability

• Hospital community benefits, costs and shortfalls reporting
• Most recent CHNA
• Community benefit implementation plan
• IRS Form 990, including reported investments, expenses,

and revenue less expenses

• Publish on hospital’s website

8

HB 19-1320 Hospital Community Benefit Accountability

• Department
• Develop rules
• Create website for hospitals to submit required reports
• Report summary of hospitals’ reported information
• Include summary in HB 19-1001 Hospital Expenditure

Report

• Implementation timeline under development

9

Board Bylaws

• Refer to draft bylaws handout

10

Thank You

Nancy Dolson Special Financing Division Director Department of Health Care Policy & Financing nancy.dolson@state.co.us