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, citing it had reached terms … Read more

The Colorado Department of Health Care Policy and Finance (HCPF) announced on Friday that it will resume the standard eligibility renewal and disenrollment process for state Medicaid and Child Health Plan Plus (CHP+) in May.      Total enrollment in Medicaid programs grew by nearly 500,000 members since March 2020, when the federal government mandated … Read more

Open Enrollment for 2023 health insurance plans, which now offers standardized state health plans for the first time in Colorado, began on Tuesday and officials from the healthcare industry are taking notice.     Colorado was the first state in the nation to have its state-specific health coverage plan approved by the federal government, which … Read more

During a virtual stakeholder meeting last Wednesday, the Colorado Division of Insurance presented its proposed methodology for establishing upper payment limits (UPL) on prescription drugs the Prescription Drug Affordability Board (PDAB) has determined to be unaffordable.      Under the proposed rules, commercially insured Coloradans’ out-of-pocket expense and  health plans’ reimbursement to the pharmacy and … Read more

Colorado’s Prescription Drug Affordability Board (PDAB) concluded its most recent meeting on June 3rd where the Division of Insurance Board staff outlined the Draft Proposed Rules for the drug cost review process.     Established under Senate Bill 175 in 2021, PDAB was established to conduct annual reviews of prescription drug costs through multi-stakeholder engagement … Read more

According to a new report, medical inflation may force health providers in Colorado to cut services and pass on rising costs of the Colorado Option to insured consumers.     Data released by the Common Sense Institute, a conservative think tank in Colorado, showed medical inflation has risen to 7.62% in Metro Denver, which is … Read more