Notice of Adoption - Amended Regulation on Annual Health Reporting and New Regulation on Strategies to Increase Health Insurance Affordability

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The Division would like to provide notice that the Commissioner has adopted the following  regulations:

Regulation 4-2-31 Annual Health Reporting and Data Retention Requirements 


The purpose of this regulation is to define uniform reporting, filing and data retention requirements for the hospital reimbursement rate report and the Annual Cost Report.

Regulation 4-2-72 Concerning Strategies to Increase Health Insurance Affordability 


The purpose of this regulation is to establish standards for health insurance carriers to enhance the affordability of their products by implementing payment system reforms. These reforms reduce overall health care costs by increasing utilization of primary and  preventive care and value-based alternative payment models. The regulation establishes requirements for carrier investments in primary care, per the requirements of HB19-1233, and targets for carrier total medical expenditures in alternative payment models.

These regulations will become effective on January 15, 2021. 

Find this regulation and other regulations that have been adopted, but are not yet effective, at Regulations Adopted But Not Yet Effective.

Division bulletins and regulations can be found at Statutes, Regulations & Bulletins.

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