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Public Rural Hospital Collaboration

Overview

Senate Bill 23-298 allows certain frontier and rural hospitals to enter into collaboration agreements. The purpose of these collaboration agreements is to improve the quality of, increase access to, and reduce costs of health care services in rural and frontier communities, while also providing protection from certain antitrust scrutiny that would generally impede these hospitals from working collaboratively.

The hospital collaboration agreements will initially be reviewed by the Department of Health Care Policy and Financing and, if applicable, the Division of Insurance. The proposals will be referred to the Attorney General upon review that the proposed collaborative activities will result in cost savings, improve efficiencies, or expand access to health care services in frontier or rural communities. Additionally, the Attorney General’s Office will determine that the benefits from the collaborative activities are not outweighed by any anticompetitive harm that may arise from said activities.

Approved hospital collaborative agreements may be reviewed annually to ensure that the agreement's outcomes are consistent with what was originally proposed.

Qualification and Application

Qualified frontier and rural hospitals will submit their Hospital Collaboration Agreement Application, their collaboration agreement proposal, along with all supporting documents to Health Care Policy and Financing and, if applicable, the Division of Insurance.

To apply, qualified frontier and rural hospitals will submit the application to the HCPF_HospitalCollaborationAgreements@state.co.us email inbox using the file linked below.

Health Care Policy and Financing is currently accepting applications. Applications are accepted on a rolling basis. Annual reviews may be initiated by Health Care Policy and Financing one year from the approval date. 

Reference

Part 10 to Article 1 of Title 25.5, C.R.S., is the statute allowing for hospitals to enter into collaboration agreements, which was enacted via the adoption of Senate Bill 23-298.  

Contact Us

Please email us with any questions at HCPF_HospitalCollaborationAgreements@state.co.us.