Bill > SB068

This bill aims to create a tool that provides transparency in health claims data submitted to the Colorado All-Payer Health Claims Database. The tool will enable users to review certain health claims reimbursement data, including the twenty-fifth, fiftieth, sixtieth, and seventy-fifth percentile of in-network reimbursement rates based on claims and the number of claims submitted for each code by payer type, for all codes with sufficient volume reported to the database. The tool will be viewable and searchable by year, county, geographic rating area, payer type (including Medicaid, Medicare, and private health-care payers), setting (including in-patient and outpatient services), and specialty. The bill also appropriates $155,250 to the Department of Health Care Policy and Financing for the implementation of the tool.

Budget and Finance, Business and Industry, Health and Social Services

https://leg.colorado.gov/bills/sb22-068