A significantly pared-down version of a bill that would have banned some fees charged by Colorado hospitals is on its way to Gov. Jared Polis.
Hospital bills are divided into two main parts: the provider fee, for the doctor who performed the visit or procedure, and the facility fee, which covers the hospital’s overhead and support staff.would have banned facility fees for care delivered virtually or in clinics that aren’t on a hospital’s campus. It also wouldn’t have allowed the fees if procedures were performed in a hospital, but could safely be done elsewhere.
The bill would also task a seven-person steering committee with studying facility fees and completing a report by October 2024. It would include when facility fees are most likely to be charged; how much revenue they generated; how the cost differs from one insurer to another; how often insurers refuse to pay the fees; if fees changed when hospitals purchased other providers; and how it all affects affordability and access to care.
“We can at least address the ‘surprise’ aspect of facility fees” by requiring disclosure, she said. “The bill does set up for important discussions to come.”
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