Dear hospital partners,

The purpose of this notification is to inform you of upcoming rule making and stakeholder feedback activities for the implementation of HB19-1001.

HB19-1001 Hospital Transparency Measures to Analyze Efficiency 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.

In order to complete the report, the bill requires:
  • Hospitals to submit historic, if available, and recent audited financial statements and Medicare cost reports to the Department.
  • Hospitals to report historic and recent financial and utilization metrics, acquisition transactions, and affiliation transactions to the Department.
The Department will simplify the submission and reporting process for hospitals to the extent we can. Hospitals will have an opportunity to review their information in the Hospital Expenditure Report before the report is made public.

Specific instructions on the submission and reporting process will be shared with hospitals in the coming weeks. An overview of upcoming actions include the following: 
  1. In August, the Department will request historic audited financial statements and Medicare cost reports from all acute care hospitals (we anticipate long term acute care, rehabilitation, and psychiatric hospitals will be exempt from the submission). The Department will request several years of fiscal data from hospitals.
  2. The Department will develop rules and a reporting tool with feedback from the Colorado Healthcare Affordability and Sustainability Enterprise (CHASE) Board and stakeholders. In the coming weeks, we will share draft rules and the reporting tool for review and feedback. Specifically, we will solicit input from the Colorado Hospital Association (CHA), the CHASE Board and other interested stakeholders.
  3. Following final rule adoption, we will be asking hospitals to complete the data collection process. Hospitals will begin reporting historic and recent financial and utilization metrics, acquisition transactions, and affiliation transactions to the Department.
As a reminder, no action is required at this time. Additional information will be forthcoming. If you have any questions please reach out to Department staff  Rebecca Parrott or Nancy Dolson.

The anticipated timeline for the implementation process in as follows:

Approximate Date
Task
July/August 2019
 Provider and stakeholder outreach
August 2019
 Provider outreach: Department requests financial statements and Medicare cost reports
August 2, 2019
 Bill effective date
October 2019
 Report structure drafted with dummy values
October 22, 2019
 CHASE Board consultation - report structure
November 30, 2019
 Rule effective date
November 2019
 Complete data collection and compilation
Hospital data sent for hospital data review
Early December 2019
 Report shared with hospitals and CHA
Data shared with CHA
December 17, 2019
 CHASE Board consultation - report review
January 2020
 Report published
 

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Thank you,

Nancy Dolson
Special Financing Division Director
About the Colorado Department of Health Care Policy and Financing: The Department administers Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus and other programs for Coloradans who qualify. For more information about the department, please visit Colorado.gov/hcpf.
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