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DOI reaches agreements with hospitals and carriers on premium rate reductions for Colorado Option health plans

| Jul 21, 2023 | Colorado

The Division of Insurance (DOI) announced it had reached agreements with all 12 Colorado Option plans on meeting the insurance commissioner's rate reduction target for individual and small group markets in plan year 2024.      DOI vacated all public hearings concerning 2024 rate reductions that were scheduled last month,...[ Read More ]

Colorado PDAAC schedules additional meeting to finalize its list of recommended priority drugs for affordability reviews

| Jul 21, 2023 | Colorado

The Prescription Drug Affordability Advisory Council (PDAAC) held its most recent meeting on July 13th to develop a recommendation of 20 drugs for consideration of upper payment limits (UPL) by the Prescription Drug Affordability Board (PDAB).      The Department of Regulatory Affairs has created an interactive, user-focused dashboard for...[ Read More ]

Colorado DOI preparing to work with stakeholders on establishing registration and regulation of PBMs

| Jul 14, 2023 | Colorado

Colorado passed House Bill 1227 earlier this year, which requires pharmacy benefit managers to register with the Division of Insurance (DOI) and abide by a number of patient protection and price transparency regulations. The division is authorized to enforce punitive measures for spread pricing, pharmacy anti-competitiveness practices, and other patient...[ Read More ]

Colorado to make numerous reforms to its Behavioral Health Administration to address operational delays

| Jun 1, 2023 | Colorado

Colorado Gov. Jared Polis signed House Bill 1236 into law on May 16th, which applies a series of administrative modifications to the state’s Behavioral Health Administration (BHA).     Under the bill, the BHA will continue as the regulatory oversight agency for the behavioral healthcare system, and continue to serve...[ Read More ]

Colorado measure to study viability of state-based healthcare system fails in legislature, but pursuit of affordability continues

| May 25, 2023 | Colorado

A measure by Colorado Democrats proposing to conduct a study of a statewide publicly financed or universal healthcare system with direct compensation to providers failed in this year’s legislative session, which ended on May 8th.     House Bill 1209 called for the Colorado School of Public Health (CSPH) to...[ Read More ]

Actuarial reviews of health benefit reforms in Colorado saw slow start during first year

| May 19, 2023 | Colorado

Senate Bill 40, which passed the Colorado Legislature last year, requires the Division of Insurance (DOI) to conduct actuarial reviews of legislation imposing a new health benefit coverage on insurance plans.      The statute allows up to six reviews to be performed per legislative session, two each on legislation...[ Read More ]