Planning for a statewide multiple-insurer health plan

The Foundation's program, State Coverage Initiatives, was designed to help states plan and develop insurance market reforms, Medicaid reforms, and other significant health care financing and delivery charges. This grant supports the State of Colorado's efforts to analyze options for expanding health insurance coverage and to implement several initiatives to improve the efficiency of health care markets. It will build on the work completed under two previous grants made under this program. Some grant resources will also be used to improve health insurance purchasing techniques used by state agencies and private purchasers, including: (1) creating "accountability" standards and monitoring activities that purchasers can use in structuring their relationships with health plans, including HEDIS data collection and enrollee surveys; (2) implementing a diagnosis-based risk adjustment methodology; (3) implementing a competitive bidding and selective contracting methodology for Medicaid HMOs; (4) implementing an insurance purchasing cooperative for state and public employees; and (5) providing technical assistance to private sector health care coverage cooperatives. Other grant resources will also be used to analyze data on Colorado's uninsured population, coordinate contracting between Medicaid and the state's high-risk pool for "uninsurable" persons, and assist the staff of Colorado's Foundation-funded "Making the Grade" project regarding financing options for school-based health care centers.

Grant Details

Amount Awarded $369,827.00

Awarded on: 4/7/1997

Time frame: 5/1/1997 - 10/31/2003

Grant Number: 31819


State of Colorado Department of Health Care Policy and Financing

1575 Sherman Street
Denver, 80203-1714


Barbara Ladon
Project Director