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Tag: Health Care Policy

Colorado Probes Claims of Cash Incentives Linked to Medicaid Services for Homeless Residents
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Colorado Politics, Approved, Local

Colorado Probes Claims of Cash Incentives Linked to Medicaid Services for Homeless Residents

By: David Migoya | Colorado Politics Editor’s Note: This story is part of a series. Read about how home health in Colorado is a complex setupand about the group On Going HHC. They call it “the program.” For the past four years, dozens of homeless people in the Denver metro area have been recruited to live rent-free in suburban houses sprinkled across Aurora — not the stereotypical homeless shelter-type housing one might think, but rather neat homes in middle-class communities with mortgages. But living there comes with a hitch: a requirement that participants be on Medicaid and have at least one prescribed medication — all must first visit the same doctor to get a cursory exam and a prescription — administered by a home health company for which the doctor ...
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Colorado saw red flags in autism therapy billing and approved higher rates anyway
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Rocky Mountain Voice, State, Top Stories

Colorado saw red flags in autism therapy billing and approved higher rates anyway

By Jen Schumann | Rocky Mountain Voice Federal auditors documented convicted staff working with autistic children. Colorado had no system to catch it. Every week, parents of autistic children in Colorado dropped their kids off with behavior therapists they trusted. What they didn't know—what the state never required anyone to verify—was whether those therapists had passed a background check. Many hadn't. Not because anyone failed a background check. Because Colorado never required one. HHS Office of Inspector General audit highlights—February 2026. Source: https://oig.hhs.gov/documents/audit/11494/A-09-24-02004-highlights.pdf The findings from federal auditors came out in February. At least $77.8 million in improper Medicaid payments for autism therapy in 20...
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From $8 Billion to $16 Billion: How Colorado’s Medicaid Budget Doubled in a Decade
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Rocky Mountain Voice, State, Top Stories

From $8 Billion to $16 Billion: How Colorado’s Medicaid Budget Doubled in a Decade

By Shaina Cole | Contributing Writer, Rocky Mountain Voice If you ask most Colorado families how they feel about health care right now, the answers aren’t complicated. It’s expensive.It’s confusing.It keeps going up. And for taxpayers helping fund Colorado’s Medicaid program — known as Health First Colorado — another question has started to surface: If enrollment has come back down, why hasn’t spending followed? Ten years ago, Colorado’s Medicaid agency operated on roughly $8 billion. Today it’s closer to $16 billion. The Common Sense Institute (CSI) calculates that as 101 percent growth over the decade. CSI reports that the rest of the state operating budget grew 64 percent during that same period. The story of enrollment is different. ...
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Federal Reimbursement Model of ‘Perverse Incentives’ Fuels Colorado Medicaid Expansion
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Complete Colorado, Approved, Commentary, State

Federal Reimbursement Model of ‘Perverse Incentives’ Fuels Colorado Medicaid Expansion

By Nash Herman | Commentary, Complete Colorado Colorado’s ongoing budget-gap struggles are the predictable result of structural problems with Medicaid.  Paragon Health Institute, a non-partisan research institute, recently published a new report, Preserve and Improve Medicaid, which explains the program’s inherent challenges and how states such as Colorado can take advantage of One Big Beautiful Bill (OBBB) reforms to improve outcomes.  However, it remains ultimately up to Colorado legislators to address the program’s systemic issues.  Medicaid’s ‘perverse incentives’ As economist Linda Gorman recently explained, the rapid 2010 expansion of Medicaid did not produce large gains in physical health, suggesting that the new expansion ...
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Colorado Lawmakers Face Tough Choices As Medicaid Drives Increased Spending
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Colorado Politics, Approved, State

Colorado Lawmakers Face Tough Choices As Medicaid Drives Increased Spending

By Marianne Goodland | Colorado Politics This week, the state Senate is reviewing revisions to the 2025–26 state budget, which has been reduced by hundreds of millions of dollars in each round of cuts. But the bottom line is that, because of Medicaid costs, the state will spend more in 2025-26 than lawmakers approved in the 2025 session. Last week, the 29 bills in the supplemental package were approved by the House, with most passing with broad support. That didn’t mean all of them did: bills changing the budgets for the departments of state, treasury, health care policy and financing, personnel, public health and environment and higher ed all passed largely along party lines. A supplemental for the Department of Corrections, which increased its budget by $29...
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Budget Crunch Drives Colorado Medicaid Board To Approve New Caps On Disability Services
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The Colorado Sun, Approved, State

Budget Crunch Drives Colorado Medicaid Board To Approve New Caps On Disability Services

By Jennifer Brown | The Colorado Sun Medicaid benefits that pay for people with disabilities to go on community outings and cover household cleaning, cooking and laundry are the latest services facing cuts as Colorado deals with a major budget shortage.  A governor-appointed board that sets rules for the state Medicaid program voted 6-1 Friday to preliminarily approve the cuts, despite rejecting other cuts requested by Medicaid officials this year.  The federal-state health insurance program will save $1.2 million in state money this year and $10 million next year by placing stricter caps on the number of hours that caregivers are paid to take people on outings through a benefit called “community connector.” Capping the hours allowed for “homemaker” services,...
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Federal Government Requires Colorado to Share Medicaid Data With Homeland Security
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Colorado Public Radio, Approved, State

Federal Government Requires Colorado to Share Medicaid Data With Homeland Security

By Bente Birkeland and John Daley | Colorado Public Radio In January, the state’s flagship safety net hospital, Denver Health, distributed a one-page notice about patient privacy that carried groundshaking implications, especially for Colorado’s immigrant population. The notice stated that due to federal changes within Medicaid, the federal-state program for hundreds of thousands of low-income and disabled Americans, “limited” personal information could be shared with U.S. Immigration and Customs Enforcement. Denver Health said the information applied only to people who are not lawfully residing in the U.S and are enrolled in a program called Emergency Medicaid or pregnant and enrolled in Medicaid through Cover All Coloradans. But if a person is in one of those groups,...
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Colorado Budget Panel Halts Proposed Medicaid Pay Reductions for Family Caregivers
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Colorado Politics, Approved, State

Colorado Budget Panel Halts Proposed Medicaid Pay Reductions for Family Caregivers

By Marissa Ventrelli | Colorado Politics The Colorado General Assembly’s budget decision-makers have put proposed pay cuts on hold for people who care for a family member with a disability who receives Medicaid. The Joint Budget Committee made the decision after hours of testimony from family caregivers and several advocates. The Department of Health Care Policy and Financing has been struggling to manage a substantial spike in Medicaid spending, which accounts for about one-third of the state’s budget, even as Colorado faces a $1 billion budget deficit. Members of the JBC earlier expressed concerns with Gov. Jared Polis’ proposal last November on how to plug that deficit, which included a plan to fund Medicaid below its projected growth. “This isn’t a tr...
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Medicaid Cuts For Disabled Coloradans Advance Without Board Approval
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The Colorado Sun, Approved, State

Medicaid Cuts For Disabled Coloradans Advance Without Board Approval

By Brian Eason | The Colorado Sun State Medicaid officials said they have authority to continue with the plan through an executive order from Gov. Jared Polis and that they will ask again for board approval. When it came time for any of the Colorado Medical Services Board members to make a motion, there was only dead silence.  For two hours, the 11-member board that governs the state Medicaid program heard pleas from parents who provide round-the-clock care of their adult children with severe disabilities. And when the testimony was over, no one on the board would make a motion that would result in cuts to the parents’ monthly pay. The request from Medicaid officials for an emergency rule change that means a 10% pay cut for families of Colorado’s most vul...
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17 Republicans Break Ranks to Advance Jeffries Led Obamacare Extension
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The Daily Signal, Approved, National

17 Republicans Break Ranks to Advance Jeffries Led Obamacare Extension

By George Caldwell | The Daily Signal The House of Representatives passed a three-year extension of COVID-19-era premium tax credits on Thursday, as a group of Republicans defied House leadership to back the Democrat-led measure. The extension passed by a 230-196 margin, with 17 Republicans joining 213 Democrats in voting for a policy which Speaker of the House Mike Johnson, R-La., and the majority of the House Republican conference has opposed for months. Five Republicans did not vote. A group of moderate Republicans joined Democrats to successfully control the floor and pass the legislation.  READ THE FULL ARTICLE AT THE DAILY SIGNAL
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