Kelly SloanKelly SloanOctober 5, 20176min517

The failure of the Graham-Cassidy health care bill may have signaled the termination of the GOP’s anemic efforts to repeal and replace the Affordable Care Act, at least in one fell partisan swoop (much like the ACA itself was introduced); but it didn’t, of course, terminate the problems generated by the enormous law it sought to partially dismantle. Nor did its demise solve the riddle of how to reconcile retention of Obamacare’s more popular elements – chiefly its treatment, however sloppily, of the pre-existing conditions question – with fiscally prudent reforms.


Ernest LuningErnest LuningAugust 8, 20174min412

Republican plans to overturn Obamacare might be on the ropes, but Democrats aren't letting up. Democratic National Committee Chair Tom Perez plans to join Gov. John Hickenlooper and House Speaker Crisanta Duran, D-Denver, along with activists, on the steps of the Colorado Capitol for a rally Tuesday morning against attempts to "strip and sabotage health care from millions of Americans," organizers said.


Ernest LuningErnest LuningApril 1, 201712min890

State Sen. Owen Hill, a Colorado Springs Republican, plans to announce on Monday that he’s running for the 5th Congressional District seat held by six-term U.S. Rep. Doug Lamborn, The Colorado Statesman has learned. Long rumored as a potential candidate for state treasurer in next year’s election, Hill confirmed Saturday that he intends to notify supporters on Monday he’s jumping in the congressional race with an email announcement.


Sharon O'HaraSharon O'HaraMarch 21, 20174min414

A significant burden to patients — and to health care providers — is the common insurance-company practice of overriding a physician’s drug recommendation and requiring a patient to use, and fail on, a lower-cost drug before it will authorize use of the more expensive, physician-preferred, drug. Known as “step therapy” – or more commonly among professionals “fail first” – this practice creates unwarranted suffering for patients and untold frustration for physicians.

Dan NjegomirDan NjegomirFebruary 14, 20172min270

There’s a bill for that. The bipartisan Senate Bill 88 would require a health plan to give notice whenever it bumps a physician or other health care provider out of its network of covered providers. Among its other provisions, the measure also would require health plans to develop and disclose criteria they use to include, exclude and dump doctors and other providers from their networks.

SB 88 — sponsored in the upper chamber by state Sens. Angela Williams, D-Denver, and Chris Holbert, R-Parker —  just passed the Senate Business, Labor and Technology Committee on a 5-2 vote and now heads to the Appropriations Committee.

Here’s a press statement released on the bill by the Senate GOP:

SB-88…will help improve health network transparency by requiring that certain networks offer notice as to how and why such changes are made. At present, most patients and doctors impacted by such “de-selection” decisions are left completely in the dark.

“We believe that patients and care providers who are forced to part ways when a health network narrows are at least owed advance notification of those changes from the insurer, along with an explanation of why such changes are necessary,” said Holbert. “Because as it stands now, the lack of answers when a network narrows or a doctor is de-selected from such a network just adds insult to injury for the patients and care providers involved.”