PUBLIC OPTION FOR HEALTH CARE COVERAGE 1
Agenda ○ ○ ○ ○ 2
What was the Impetus for the Recommendation? ● ● 3
What Did HB19-1004 Do? • • • • • • 4
Overview of Agency Process: Timeline Public Comments Accepted Public Comments Accepted Drafting Report Drafting Final Draft Report Stakeholder Meetings Released Recommendation Delivered to HB19-1004 General Assembly signed 8/30 10/7 10/28 11/15 5/17 MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER 5
Overview of Agency Process: Stakeholders ○ 6
What Did We Hear? The whole health care system is complicated. Option should be available to every individual in the state. Making it available to everyone makes it simple. “I am having a very difficult time paying Simplify the system in order to make it for this. I know there are lots of people patient-centered. like me who live in Colorado. I think more - Susan, Boulder County choices could bring more competition and help make it more affordable for us.” – Liz, El Paso County “It will provide a solid basis for “It's great that our leading the US by creating a government is finally State Coverage Option for taking heed to the fact Coloradans to obtain affordable that multitudes are health insurance coverage.” suffering and need help -Evon, Arapahoe County with healthcare costs.” -Kyle, Coloradan 7
What Did We Hear? ● ● ● ● ● ● ● 8
The Recommendation ○ ○ 9
What’s Covered? 10
Who’s Covered? 11
How Does this Save People Money? 12
We can Save Even More with Federal Approval 13
Maintaining Collaboration with an Advisory Board • • 14
Maximizing Existing Infrastructure • • • • • 15
Why Is this More Affordable? 16
How will Hospitals be Reimbursed? • ○ ○ ○ ○ 17
Why Establish Hospital Reimbursements? Provider Fee ACA 18 Data for both charts is from the Medicare Cost Reports, data extracted by the Department of Health Care Policy & Financing in 2019.
Why are Hospitals Still Shifting Costs? 2017 Hospital Profits 1 19 1 Medicare Cost Reports, data extracted by the Department of Health Care Policy & Financing in 2019 2 The Cost Shift Myth, Colorado Health Institute. (https://www.coloradohealthinstitute.org/research/cost-shift-myth)
Tools to Monitor and Prevent Cost Shifting ● ● ● ● 20
Working Together for Colorado’s Future 21
Thank You and Next Steps 22
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