Colorado Hospital Transformation Program

As a result of the novel coronavirus disease (COVID-19) pandemic, the Hospital Transformation Program (HTP) timeline has been adjusted. On Friday, Nov. 20, information was shared with program participants and stakeholders that April 1, 2021 will be the start date for the HTP application period. Questions about the HTP timeline and application process should be directed to the HTP dedicated inbox at

Consistent with the Colorado Healthcare Affordability and Sustainability Enterprise (CHASE) Act of 2017, the State of Colorado Department of Health Care Policy and Financing, in concert with CHASE, will seek approval from the federal Centers for Medicare and Medicaid Services (CMS) to embark on a five-year program to implement hospital-led strategic initiatives through the establishment of a delivery system reform incentive payment (DSRIP) program. The Hospital Transformation Program (HTP) will build upon the existing hospital supplemental payment program to incorporate value-based purchasing strategies into existing hospital quality and payment improvement initiatives.

Under the HTP, hospitals will be required to implement quality-based initiatives to receive supplemental payments and demonstrate meaningful community engagement and improvements in health outcomes over time. The program will outline expectations for key activities and tracking measures, in order to establish statewide uniformity while providing the hospitals the flexibility to work with their communities on the best interventions and approaches. The program will serve as a glide path to transition from pay-for-process and reporting to a pay-for-performance structure as we move further into the waiver period.

The engagement of community and health neighborhood organizations at the outset of the HTP will be critical to ensuring successful collaborations and delivery system impacts throughout and following the HTP. The pre-waiver year is dedicated to the Community and Health Neighborhood Engagement process and is seen as a cornerstone of the program.

Sign up for Hospital Transformation Program Updates. To complete the sign-up process, enter your contact information and select the “Hospital Transformation Program” box.

More information will be posted about the Hospital Transformation Program soon.  Watch this space for information about stakeholder opportunities, frequently asked questions, and more.