Title Information
Title
Assessing Individual Market Hospital Outpatient Prices in the Context of the Colorado Option
Type of Resource (primo)
technical_reports
Abstract
In 2023, Colorado launched the Colorado Option, a standardized health insurance plan with regulatory tools to enforce premium reductions, including state intervention in hospital payment negotiations. This brief examines whether these regulatory tools influenced hospital outpatient prices in the individual market. Using 2020–2024 claims data for four common outpatient procedures, we found that prices at hospitals targeted for rate reductions ("named hospitals") declined by approximately 10% in non-Colorado Option plans. These findings suggest the Colorado Option may be contributing to modest price reductions, with potential spillover effects across the individual market.
Name
Name Part
Roslyn Murray
Role
Role Term (marcrelator) (authorityURI="http://id.loc.gov/vocabulary/relators", valueURI="http://id.loc.gov/vocabulary/relators/aut")
Author
Name
Name Part
Christopher Whaley
Role
Role Term (marcrelator) (authorityURI="http://id.loc.gov/vocabulary/relators", valueURI="http://id.loc.gov/vocabulary/relators/aut")
Author
Origin Information
Date Created
2025
Subject (Local)
Topic
Hospital Outpatient Prices
Subject (Local)
Topic
Colorado
Genre
Policy Brief
Access Condition: use and reproduction
All rights reserved
Access Condition: rights statement (href="http://rightsstatements.org/vocab/InC/1.0/")
In Copyright
Access Condition: restriction on access
All Rights Reserved
Identifier: DOI
10.26300/9jf5-ds57