health insurance
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Grand Junction employees ‘out of luck’ in challenging city’s retiree health plan, appeals court rules
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The immunity granted to government entities under state law bars a class action lawsuit against Grand Junction for the city’s alleged malfeasance in administering a health insurance program for retired employees, Colorado’s second-highest court ruled on Thursday. A trial judge previously found no evidence the city denied health benefits to any eligible retiree, but also…
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Colorado awarded $245M for cost savings from state health insurance programs
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Cost reductions from Colorado health insurance programs saved the federal government $245 million in 2023, money which will soon be returned to the state. The U.S. health and treasury departments announced Colorado’s $245 million in pass-through funding on Wednesday – the largest amount Colorado has received, said Insurance Commissioner Michael Conway. This is the first…
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Nighthorse Campbell assembles panel to prepare for Health Security Act reforms | A LOOK BACK
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Thirty Years Ago This Week: Discussions were growing heated over the Colorado statutory reforms that would be necessary to comply with H.R. 1200, the federal American Health Security Act. In an effort to help ease the transition, U.S. Sen. Ben Nighthorse Campbell hosted a panel to discuss Colorado’s approach to enacting the required healthcare reform…
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Colorado bill seeks to limit step therapy in serious mental illness treatment
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When a doctor prescribes medication for a patient, insurance companies often require the patient to first try a series of alternative, less expensive drugs before they will cover the originally prescribed medication. Critics say that process – called “step therapy” – delays lifesaving care. Rep. Dafna Michaelson Jenet said when she was diagnosed with major depressive…
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Proposal to cap EpiPen costs at $60 advances in Colorado
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An effort to cap the price of epinephrine auto-injectors for Coloradans passed a major hurdle Friday, receiving unanimous approval from its first committee. If passed by the full legislature, House Bill 1002 would require insurance companies to cap out-of-pocket costs at $60 for a two-pack of auto-injectors, better known as the trademark EpiPen. The bill…
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Colorado insurance rates will be more expensive than Polis administration promised
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Colorado’s insurance premiums will increase by double digits in the individual pool and by a substantial amount in the small group market next year, rate changes the state released on Tuesday show, leading the trade association for health insurers to argue that the Polis administration “chose politics over math.” Coloradans face a 7.4% hike…
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Colorado hospitals to screen low-income patients for discounts, cap monthly billings
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Beginning on Thursday, Colorado hospitals must screen low-income patients for discounts or public health insurance programs and limit the monthly medical bills they can be charged. Eligible Coloradans include those with household incomes at or under 250% of the federal poverty level — up to $69,375 for a family of four. If a patient is…
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Individual health insurance premiums expected to increase by over 11% in Colorado
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Health insurance premiums are expected to increase by over 11% in Colorado’s individual market and over 9% in the small employer market in 2023, according to the Division of Insurance. The division released the proposed premium increases Tuesday, using preliminary insurance company filings for 2023. In the individual market – health insurance plans separate from…
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Feds approve waiver for Colorado Option
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The federal Centers for Medicare and Medicaid Services granted Colorado’s request for a waiver for the Colorado Option, allowing the state to move forward on implementation plans for Colorado Democrats’ signature health insurance bill. The Colorado Option will be a state-designed health plan, mandated under House Bill 21-1232 to be offered by health insurers in the…