"We strive to support and care for individuals when they are the sickest and most vulnerable, implement programs to better control claim costs in the near term, to better prepare us for economic volatility in years to come, and align our programs with industry standards to streamline Medicaid administration for doctors and hospitals."
- Kim Bimestefer, Executive Director for the Colorado Department of Health Care Policy & Financing
Hospital costs are a significant driver of public and private insurance expenditures, and for Health First Colorado (Colorado's Medicaid Program), 30 percent are attributed to hospitals. Additional analysis of hospital data could potentially lead to initiatives that improve the health care delivery system to the benefit of all users and insurers.
This webpage contains links to the Department's hospital reporting, as well as links to sister agencies and other resources.
Tools
2024 Hospital Reports
These reports are the most recent hospital reports released by the Department, updated March 2024.
- Hospital Insights
People using assistive technology may not be able to fully access information in this file. For assistance, contact Anthony Ciaramella at anthony.ciaramella@state.co.us.
- Hospital Tools
Price Transparency
Breakeven Analysis
- Breakeven Analysis Write-Up
- Breakeven Analysis Methodology
- Hospital Pricing Tools Write-Up
- Breakeven Analysis Tool
Hospital Payment Variation
Hospital Cost Reporting
People using assistive technology may not be able to fully access information in this file. For assistance, contact Anthony Ciaramella at anthony.ciaramella@state.co.us.
- Hospital Financial Transparency
HB19-1001 Hospital Transparency Measures to Analyze Efficacy requires the Department of Health Care Policy & Financing (the Department) to develop and publish a report on hospital uncompensated care costs titled the Hospital Expenditure Report.
- Price Transparency
Senate Bill 23-252 requires the Department of Health Care Policy and Financing (the Department) to conduct a performance assessment for each hospital to determine the hospital's adherence to federal transparency rules and publish the results on its website; hospitals to make public and post each hospital's medicare reimbursement rates; makes a violation of the hospital transparency requirements outlined in the act a deceptive trade practice under the "Colorado Consumer Protection Act".
- Hospital Community Benefit Accountability
House Bill (HB)19-1320 requires non-profit tax exempt general hospitals, Denver Health Medical Center, and University of Colorado Hospital, to complete a community health needs assessment every three years and an annual community benefit implementation plan every year. HB 23-1243, Hospital Community Benefit, expands on the previous legislation of HB 19-1320 by including changes to hospitals' community benefit activity requirements, and imposes certain requirements on public meetings regarding hospitals' community benefit activities and implementation plans.
- Hospital Cost, Price and Profit Analysis
- Colorado Healthcare Affordability and Sustainability Enterprise (CHASE)
CHASE submits an annual report that includes recommendation made to the state board, a description of the formula for how the healthcare affordability and sustainability fee is calculated, and itemization of the costs incurred by the enterprise, estimates of the differences between the cost of case provided and the payment received by hospitals on a per-patient basis, aggregated for all hospitals, for patients covered by Medicaid, Medicare and all other payers, and a summary of the efforts made by the enterprise to seek any federal waiver necessary to fund and support the implementation of a health care delivery system reform incentive payments program.
- Hospital Cost Analysis
- CHASE Hospital Cost Analysis - HB 09-1293 authorized a provider fee for hospitals which was designed to reduce the cost shift from Medicaid to private insurance, but this hasn't been the case. Upon direction of the General Assembly, the Department has targeted resources towards researching hospital costs and cost shift for both public and private payers.
- Colorado Cost Shift Analysis - 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. While Colorado has made significant progress increasing coverage and access, one of the biggest remaining barriers is the high, and increasing cost of health care.
- Other Resources
- Colorado Department of Public Health and Environment - Health Facilities
- Colorado Division of Insurance - Hospital Price Report
- Colorado Hospital Association - Colorado Hospital Price Report
- Center for Improving Value in Health Care - Community Dashboard
- For Our Hospitals
Contact Us
Austin Wozniak
austin.wozniak@state.co.us