Some health care providers might move to other States to make more money, but the Colorado Plan would make sure physicians, nurse practitioners, physical therapists in private practice are reimbursed a fair rate for the services they provide. The health care providers in private practice would no longer need to pay additional staff to process claims for a multitude of private commercial health insurance companies. The estimate is that most private physician practices would save approximately $100,000 with the Colorado Plan because they would submit claims to only one payer, the Colorado enterprise, instead of several with different rules and forms to navigate. Health care providers would serve on a board for the enterprise to advocate for fair reimbursement rates. Also, many private commercial health insurance companies intentionally delay payment to health care providers to increase their profit margin. The Colorado Enterprise would be designed to promptly pay health care providers because it would be a not-for- profit business owned by the people of Colorado and not want to create cash flow problems for practicing health care providers. For all of these reasons, some health care providers will be attracted to practice in Colorado from other States and hopefully improve the current health care provider shortage. Medicare rates set by the Federal Government can be augmented by the State to assure providers are fairly reimbursed. Obviously we would not want to exacerbate the health care provider shortage but rather encourage providers to practice in Colorado because they can focus on providing good medical care not become distracted by the private commercial insurance companies interference in their ability to practice medicine by telling the doctor they can prescribe one blood pressure medicine but not another when the doctor knows the best blood pressure medicine is not on the private commercial health insurance companies list of okay drugs to prescribe.
Home » FAQs » Would we lose healthcare providers because we limited their ability to make as much money as they can make filing claims with private commercial health insurance companies? Would they move to another State?