February 27, 2025

Colorado Healthcare Affordability and Sustainability Enterprise (CHASE) Newsletter

CHASE Overview

The Colorado Healthcare Affordability and Sustainability Enterprise (CHASE) Board makes recommendations to the Medical Services Board regarding the implementation of the health care affordability and sustainability fee established pursuant to the Colorado Healthcare Affordability and Sustainability Enterprise Act of 2017, Section 25.5-4-402.4, Colorado Revised Statutes. These recommendations include the amount of the fee, reforms to hospital reimbursement and quality incentive payments, and the approach to expanding coverage under Health First Colorado (Colorado's Medicaid program) and Child Health Plan Plus (CHP+). The CHASE Board also directs the implementation of the Hospital Transformation Program and monitors the impact of the fee on the health care market.

Board Updates

The previous CHASE board meeting occurred on February 25, 2025. The Board unanimously approved the proposed Disproportionate Share Hospital (DSH) payment qualification policy and reviewed feedback from key stakeholders. Please access the agenda, slides, previous meeting handouts, and revised CHASE Workgroup Recommendation.

CHASE Model & Provider Fees and Payments

Hospitals received a one-time payment on Monday, December 16, 2024 for the federal fiscal year (FFY) 2023 and FFY 2024 supplemental payment increase to 99.25% of the inpatient and outpatient hospital upper payment limits. A summary letter providing the payment amounts and calculations were communicated to hospitals on Monday, November 18, 2024.

Please contact Kyle Iftodi at Kyle.Iftodi@state.co.us if you have questions regarding your hospital’s payment increase or did not receive the summary letter.

CHASE State Directed Payments Workgroup Updates

The Colorado Healthcare Affordability and Sustainability Enterprise (CHASE) Board created a workgroup to explore the establishment of a State Directed Payment (SDP) Program as well as reforms to the existing CHASE hospital provider fees and supplemental payments.

The workgroup will develop comprehensive recommendations for the CHASE program for the CHASE Board’s consideration so HCPF can advance a broadly supported proposal to submit to the federal Centers for Medicare and Medicaid Services (CMS) for implementation by July 1, 2025.


The workgroup members are:

  • Josh Block, Deputy Chief Financial Officer, HCPF
  • Nancy Dolson, Special Financing Division Director, HCPF
  • Dr. Kimberley Jackson, CHASE Board Vice Chair
  • Emily King, Senior Policy Advisor/Deputy Director of the Office of Saving People Money on Health Care, Governor's Office
  • Annie Lee, President & CEO, Colorado Access
  • Shauna Lorenz, Partner, Gjerset & Lorenz LLP
  • Tom Rennell, Senior Vice President Financial Policy and Data Analytics, CHA
  • Alison Sbrana, Consumer


The workgroup will be facilitated by Government Performance Solutions and assisted by expert consultation and advice from Health Management Associates and Public Consulting Group.

Additional information about the workgroup and its meetings can be found on the CHASE State Directed Payment Program Workgroup website. The workgroup will meet twice monthly beginning in January 2025. Dates and times will be published on the website. In recent workgroup meetings, members have discussed the project timeline and key points, such as methodology, services to be included in the proposal, types of hospitals to be included, and funding. The workgroup has agreed to use Medicare hospital cost reports for the Average Commercial Rate (ACR) data source, but the group will continue to explore preferred calculation methods and payment designs. Multiple paths forward were presented and discussed.



For more information, please review the agenda and slide deck from the most recent workgroup meeting on February 26, 2025, posted on the webpage.


Please send inquiries about the workgroup to HCPF_CHASE_SDP@state.co.us.

CHASE Report

Annually, the CHASE board produces a report with the assistance of HCPF. The report is due to the legislature each year by January 15. Here is a link to the 2025 CHASE annual report

Rural Monitor Grant Program


Senate Bill 24-168 created the Telehealth Remote Monitoring Grant Program which will award up to $500,000 to eligible rural outpatient health care facilities via five (5) $100,000 grants. Grant funds are to be used for implementing telehealth remote monitoring for outpatient clinical services and must be used to: 


a) Pay for the acquisition costs of telehealth remote monitoring equipment and devices 


and 


b) Train staff to use, assess, and monitor telehealth remote monitoring equipment and devices.


The grant will go to eligible rural health care facilities (hospitals, rural health centers, or Federally Qualified Health Centers [FQHC’s]) that provide outpatient clinical services in Colorado and are located in a designated rural county or a designated Health Professional Shortage Area (HPSA). 


The purpose of the grant program is to enable rural Coloradans to benefit from telehealth remote monitoring services. Access to these services results in better health outcomes and saves money, time, and energy spent on obtaining health care. Telehealth remote monitoring services will provide cost savings for the Health First Colorado (Colorado’s Medicaid program) system by improving rural access to primary care and helping prevent unnecessary trips to the emergency room. In addition, these services are a crucial step toward reducing health disparities and achieving health equity in Colorado.


Email address for questions or comments regarding the Telehealth Remote Monitoring Grant: hcpf_rmg@state.co.us.


Visit the Colorado Department of Health Care Policy & Financing (HCPF) website for more information about the program and to learn how to apply for the grant.

Next CHASE Meeting

The next Colorado Healthcare Affordability and Sustainability Enterprise (CHASE) Board meeting will take place via Zoom on Tuesday, April 22, 2025, at 3 p.m. 


Additional information about the board, as well as meeting materials, are on the CHASE Board website. Dates and times for upcoming meetings are published on the website.

Contacts

Nancy Dolson: nancy.dolson@state.co.us  


Jeff Wittreich: jeff.wittreich@state.co.us