CHASE Board June 2019 Nancy Dolson Department of Health Care - PowerPoint PPT Presentation

CHASE Board June 2019 Nancy Dolson Department of Health Care Policy and Financing

Hospital Transformation Program Refer to CHASE HTP update memo • Additional materials for your information • • CHASE HTP work to date summary • CHA response letter • Advocates Response to HTP Measures Draft • CHA HTP Letter 2

HB 19-1001 Hospital Transparency Measures to Analyze Efficacy Hospitals • • Audited financial statements or equivalent for hospital systems • Medicare Cost Reports • Utilization and staffing statistics • Charges, contractual allowances, bad debt and charity care by payer type • Operating expenses, revenue, margins and other financial information • Hospital and physician group acquisition and affiliation transactions 3

HB 19-1001 Hospital Transparency Measures to Analyze Efficacy General acute care hospitals • • May exempt psychiatric, long term care, rehabilitation, and/or critical access hospitals Historic Reporting: Fiscal Years 2011-12 through current • • Audited financial statements (or equivalent) and Cost Reports • Utilization and other reporting items as available 4

HB 19-1001 Hospital Transparency Measures to Analyze Efficacy Hospital Expenditure Report • • Annually beginning January 2020 • Department develop in consultation with CHASE Board • May be included in CHASE Annual Report, subject to CHASE Board approval CHASE Board • • Calculate cost shift estimates for CHASE Annual Report using data and analysis resulting from HB 19-1001 5

HB 19-1001 Implementation Approximate dates • June to July • • Stakeholder engagement • Rule development July to September • • Data collection with historic data focus • Financial statements and cost reports first October to January • • Report development and Board consultation • Hospital report review • Report publication 6

HB 19-1320 Hospital Community Benefit Accountability Hospitals • • Tax exempt hospitals, Denver Health and University Hospital required • Critical access and long term care hospitals not required • Others encouraged and may voluntarily report • Public community benefit meetings annually • Community Health Needs Assessment every three years • Community benefit implementation plan annually 7

HB 19-1320 Hospital Community Benefit Accountability Hospital community benefits, costs and shortfalls reporting • • Most recent CHNA • Community benefit implementation plan • IRS Form 990, including reported investments, expenses, and revenue less expenses • Publish on hospital’s website 8

HB 19-1320 Hospital Community Benefit Accountability Department • • Develop rules • Create website for hospitals to submit required reports • Report summary of hospitals’ reported information • Include summary in HB 19-1001 Hospital Expenditure Report Implementation timeline under development • 9

Board Bylaws Refer to draft bylaws handout • 10

Thank You Nancy Dolson Special Financing Division Director Department of Health Care Policy & Financing nancy.dolson@state.co.us