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Stay up-to-date on what's new at HCPF with this newsletter created specifically for the Colorado General Assembly.
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This newsletter is published monthly while the legislature is in session, and quarterly outside of the legislative session. The next edition will be published in February 2019.
Please continue to direct any questions or constituent issues to the Department's legislative team:
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Department Leadership Announcements: Executive Director
Governor Jared Polis appointed Kim Bimestefer to continue her role as the executive director of the Department of Health Care Policy & Financing.
Most recently, Bimestefer ran her own consulting company, helping organizations navigate the many changes facing the health care industry. She was also president and general manager of Cigna Mountain States and chair of Cigna Healthcare of Colorado from 2012-2016.
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HCPF FY2017-18 Annual Report
The Department FY 2017-18 Annual Report is now available. Check it out to learn important Department data and budget information, and read provider and member testimonials.
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HCPF's 2019 Legislative Agenda
- Extending the Breast and Cervical Cancer Prevention and Treatment Program
- Colorado Dental Health Care Program for Low-Income Seniors
- Increased Authority for the Oversight of Individual Residential Services and Supports
- Expanded Access to the Civil Monetary Penalty (CMP) Cash Fund
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HCPF FY2019-20 Budget Agenda
A summary of the Department's discretionary budget requests submitted for consideration to the Colorado General Assembly, as part of the Governor's FY201
9
-
20
budget, is now posted on ou
r
website
. These requests focus on improving customer service, program oversight and compliance, as well as supporting innovation.
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Joint Budget Committee (JBC) and SMART Act Hearings
The Department recently presented at three JBC hearings (Executive Director's Office, Office of Community Living and Behavioral Health) and at the SMART Act hearing. All of our hearing responses and presentation materials can be found on the
Legislator Resource Center page
.
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Accountable Care Collaborative Phase II Resources
The second iteration of the Accountable Care Collaborative (ACC) began July 1, 2018. Since that time, the Department has been working closely with providers, our contractors, and stakeholders to identify and tackle questions and issues related to implementation. The most common issue identified prior to implementation has been related to member attribution to a Primary Care Medical Provider (PCMP) and Regional Accountable Entity (RAE). This is a challenge all health plans face, particularly when trying to attribute members to a specific practice. Department staff have been working hard for months to build and implement an attribution process that honors member choice and complies with federal regulation, while also connecting all members to a medical home.
For more information on how the Department is addressing this issue and to access our published resources and guidance for providers, members and other interested parties, please visit the
Accountable Care Collaborative Phase II page
.
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In May 2018, unanimous approval of Senate Bill 266 (SB-266) created the Department's Cost Control Office, which has since been renamed Cost Control and Quality Improvement (CCQI). SB-266 uses data and technology to control costs. One example of this is by creating and supporting the Inpatient Hospital Review Program. The CCQI Office Director now oversees the divisions critical to the office's mission to:
- Propel Medicaid claim cost-control solutions towards industry standards and payer best practices
- Prepare for volatility (growing senior populations, changes in federal funding, rising prescription drug prices & increases in unemployment)
- Build a sustainable approach to controlling claims costs
- Contain costs and improve member health outcomes
The CCQI staff includes the Data Analytics, Utilization Management, and Quality Improvement teams, as well as the Chief Nursing Officer and Chief Medical Officer. Three new staff members started in January, including the Analytics and Quality Division Director, Cost and Care Management Manager, and the Innovations and Performance Manager.
The CCQI office is working toward a March implementation date for the Inpatient Hospital Review program. Stakeholder communications in the fourth quarter of 2018 and early January 2019 included:
- Meeting with advocates to review goals of the program, feedback opportunities and member correspondence
- Meeting with Colorado Hospital Association to review questions and concerns
- Ongoing work with Regional Accountable Entities to review risk stratification, population health, and care coordination, including data from the Inpatient Hospital Review Program
- Informational Memo to over 500 hospital contacts describing implementation plans and training opportunities
For additional information on Controlling Medicaid Cost Initiatives, please visit our webpage which includes a link to the legislative report prepared in November.
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HCPF Submits New Reports & LRFIs to the General Assembly
HCPF
s
ubmitted
many
new
report
s
and LRFIs
to the
General Assembly over the pa
st month,
all of
which
can be found on our website:
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County by County Resources
The County Fact Sheets have been updated for FY2017-18 and will continue to be updated when new data is available.
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Legislator Resource Center
The
Legislator Resource Center
on our website is available to help legislators and legislative staff easily find information. It includes links to reports, fact sheets and overviews of the budget process to help inform legislators.
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Follow HCPF on Social Media
We invite legislators to follow us on social media to stay informed of news and happenings at the Department. You can follow us on
Facebook
,
Twitter
and
LinkedIn
.
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Colorado Department of Health Care Policy & Financing
(303) 866-2993 | 1570 Grant Street, Denver, CO 80203
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