Division of Insurance Launches Primary Care Payment Reform Collaborative
Group will focus on improving primary care and offering recommendations to the Insurance Commissioner regarding affordability in Colorado.
DENVER (July 2, 2019) – The Colorado Division of Insurance (DOI), part of the Department of Regulatory Agencies (DORA), has selected 19 individuals from across the state to participate in the Primary Care Payment Reform Collaborative. House Bill 19-1233 (HB19-1233), “Investments in Primary Care to Reduce Health Care Costs,” passed in the 2019 legislative session, and tasked the DOI with the formation of the Collaborative.
This group will work toward evidence-based primary care strategies that reduce health care costs and incentivize value over volume. It will also provide advice to the Commissioner in the development of affordability standards and targets for investments in primary care by insurance companies. Ultimately, the Collaborative will focus on developing strategies for increased investments in primary care that deliver the right care in the right place at the right time.
To create the Collaborative, the DOI sought participants who are health care providers (including primary care providers), health care consumers and advocates, employers that purchase health insurance for their employees, health insurers and health insurance actuarial experts. Over the course of the application period (June 3 - 14), 46 applications were received. The following people were selected from that applicant pool. In addition, there are representatives from the Department of Health Care Policy & Finance and the Department of Public Health and Environment, as required by the legislation.
- Ashley Bedker - Health Care Consumer, Mountain Communities
- Amy Dickson - Primary Care Provider, Denver / Mountain Communities
- Amy Dorff - Actuary, Northern Front Range
- Stephanie Gold, M.D. Primary Care Provider, Denver Metro area
- Patrick Gordon - Health Insurer Representative, Western Slope
- Dusti Gurule - Health Care Consumer, Denver Metro area
- Steve Holloway - Department of Public Health & Environment
- Trampas Hutches - Primary Care Provider, Eastern Plains
- Debra Judy - Health Care Consumer, Denver Metro area
- David Keller, M.D. - Primary Care Provider , Denver Metro area
- Greg McCarthy - Health Insurer Representative, Denver Metro area
- Gretchen McGinnis - Health Insurer Representative, Denver Metro area
- Miranda Ross - Health Insurer Representative, Denver Metro area
- Robert Smith - Employer, Denver Metro area
- Simon Smith - Primary Care Provider, Northern Front Range
- R. Holbrook Stapp, M.D. - Primary Care Provider, Denver Metro area
- Alwin Steinmann - Primary Care Provider, Denver Metro area
- Andrea Stojsavljevic - Health Care Consumer, Denver Metro area
- Marsha Thorson - Primary Care Provider, Western Slope & Mountain Communities
- Christina Yebuah - Health Care Consumer, Denver Metro area
- Stephanie Ziegler - Department of Health Care Policy & Finance
A representative from the Centers for Medicare and Medicaid Services (CMS - part of the U.S. Department of Health and Human Services) will also be added. The members of the Collaborative will not only work with the DOI, but will consult with the Department of Health Care Policy & Finance, the Department of Personnel & Administration and the Colorado All-Payer Claims Database (APCD). The group’s first meeting will be on July 8, 2019.
For more information, visit the DOI’s webpage for the Primary Care Payment Reform Collaborative.
The Colorado Division of Insurance (DOI), part of the Department of Regulatory Agencies (DORA) regulates the insurance industry and assists consumers and other stakeholders with insurance issues. Visit dora.colorado.gov/insurance for more information or call 303-894-7499 / toll free 800-930-3745.
DORA is dedicated to preserving the integrity of the marketplace and is committed to promoting a fair and competitive business environment in Colorado. Consumer protection is our mission. Visit dora.colorado.gov for more information or call 303-894-7855 / toll free 1-800-886-7675.