Colorado is a state to watch on healthcare transparency and costs. Colorado has a working All-Payer Claims Database, which calls itself “the most comprehensive source of health claims data from public and private payers in Colorado.” Indeed, Colorado’s APCD includes a full scope of providers and paid amounts, and has an easily accessible website for consumers. In the enforcement realm, the state has not been too active. It has allowed a few recent sales of non-profit hospitals on the grounds that they complied with the state’s statutory requirements.
In the 2018 legislative term, Colorado was very active and passed several bills to promote price transparency and broaden coverage. The legislature introduced the Colorado Prescription Drug Price Transparency Act of 2018 (HB 1260), which would require makers of prescription drugs to provide notice when they hike prices on certain drugs by more than 10 percent in a two-year period. The bill passed in House but was postponed indefinitely in the Republican-controlled Senate.
However, the state was successful in passing a number of other price transparency bills, including disclosure of prescription costs at pharmacies (HB 1284) and allowing the general assembly to pay for expenses related to the all-payer health claims database (HB 1327). Additionally, bipartisan efforts tackled confusing practices and hidden pricing at freestanding emergency departments (FSEDs) by passing SB 146, which requires FSEDs to provide disclosures to enable patients to make better-informed decisions before incurring charges, and HB 1282, which assigns a unique facility identifier to all FSEDs in Colorado for billing purposes.
The State Database
The Source tracks state activities impacting healthcare price and competition in both legislation and litigation in a searchable database to help stakeholders at the state level understand their legal and regulatory environment as they make efforts to improve access, quality, and efficiency, and reduce costs in healthcare.
LEGISLATION: The Database of State Laws Impacting Healthcare Cost and Quality (SLIHCQ), created by The Source on Healthcare Price & Competition and Catalyst for Payment Reform, catalogues state legislation governing price transparency, provider market power, provider payment, provider networks, and benefit design. The database also includes pharmaceutical legislation beginning in the 2017-2018 legislative session. *Note: Current legislative session bill updates are ongoing. Check back weekly for updates.
LITIGATION: The Source tracks major litigation and antitrust enforcement action by federal entities (FTC or DOJ), state attorney generals, and private parties in the main provider and insurer markets, particularly legal challenges of healthcare consolidation and anticompetitive contract provisions. Additionally, the database contains major pharmaceutical cases including legislation challenges and significant appellate cases.
Search the database across all jurisdictions on the State Overview page, or view and filter existing legislation or litigation on individual state pages. The database allows customized search and filter by keyword, status, and/or key issue category. *Multiple filter/selections enabled. Click here for User Guide.