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Colorado journalists show power of collaboration in UCHealth debt collection exposé

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Colorado journalists show power of collaboration in UCHealth debt collection exposé


University of Colorado Hospital. Photo by Jeffrey Beall (CC BY-SA 3.0)

In June, Colorado Gov. Jared Polis signed into law HB24-1380, Regulation of Debt-Related Services. The law marked a milestone in a five-year investigation by a group of reporters into the debt-collection practices of the University of Colorado Health System (UCHealth).

Starting in 2019, journalists from five news outlets collected data on the number of lawsuits UCHealth brought against patients who had unpaid medical bills, according to reporting from Chris Vanderveen, the director of special projects for television station 9News, and John Ingold, a health reporter and cofounder of the nonprofit news outlet, The Colorado Sun.

Dubbed “Diagnosis: Debt Colorado,” the reporting project stems from a partnership led by the Colorado News Collaborative (COLab) and KFF Health News and included contributions from The Colorado Sun, 9News, Colorado Newsline and The Sentinel. In a series stemming from KFF Health News’ reporting on medical debt in the United States, the reporters explored the causes, scale and effects of medical debt on Colorado’s residents.

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UCHealth is the state’s largest hospital system, collecting more than $6 billion in patient care revenue annually, Ingold and Vanderveen reported on Feb. 19, “UCHealth sues thousands of patients every year. But you won’t find its name on the lawsuits.”

In its mission statement, UCHealth says, “We improve lives,” the reporters noted. But from 2019 through 2023, the health system and its debt collectors filed 15,710 lawsuits, UCHealth revealed in response to questions from Ingold and Vanderveen, the two reporters wrote in that Feb. 19 article. That’s an average of 3,142 lawsuits per year, or more than eight per day, they noted. Yet almost none of the lawsuits were filed in UCHealth’s name, they added.

In a broadcast on June 27, Vanderveen summarized the reporters’ findings. “As Colorado’s largest and most prominent medical provider insisted it was ‘not hiding anything,’ an exhaustive investigation discovered UCHealth, for years, used what amounted to a loophole in the state’s court system to keep private its aggressive bill collection practices,” Vanderveen wrote.

While journalists often cover hospitals’ confrontational billing and collection tactics, the investigative work of Vanderveen, Ingold and other journalists in this collaboration is significant because it shows how health reporters can uncover lawsuits when a hospital or health system conceals its legal actions against patients.

For their work, the collaborative efforts were particularly useful as were more traditional reporting strategies: soliciting patients’ hospital bills over multiple years, visiting courthouses when debt-collection cases were heard, and gathering the names of defendants and lawyers in those cases.

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This spring, the investigation prompted the Colorado General Assembly to pass HB24-1380 to close a loophole that allowed UCHealth to sue thousands of patients under another business’ name, Vanderveen reported. Starting this fall, the law will force hospital systems to sue patients under their own names on debts the systems still own.

After the legislature passed HB24-1380, state Sen. Sonya Jaquez Lewis, praised the journalists’ work. “I really do think we owe you a little bit of thanks — maybe a lot of thanks and gratitude — for sure, because it pointed us in the right direction,” said Jaquez Lewis, a sponsor of the bill.

How the project unfolded

Early in 2020, UCHealth ended its years-long practice of suing patients under its own name, a change that was not disclosed to the state legislature or the public, Vanderveen reported. “The decision allowed UCHealth to continue to sue patients — roughly eight per day for years — with virtually no way to track its legal efforts,” the TV station explained. By allowing two of its third-party debt collectors to use their names as plaintiffs, “UCHealth turned a once-transparent process into a confusing and opaque mess for many of its patients,” the news station added.

When journalists asked about the issue, UCHealth’s administrators said the health system had sued more than 15,000 patients in five years, becoming one of the most aggressive litigants in Colorado, 9News explained.

Soliciting data from patients’ bills

Years before collaborating with other journalists to report on medical debt, Vanderveen asked 9News’ viewers to send in their medical bills. “Sometime between 2016 and 2018, we started a bill-solicitation program called, ‘Show Us Your Bills,’ and we got a lot of submissions,” he said in a phone interview. From those bills, Vanderveen built a database showing how often each hospital filed lawsuits, including the most aggressive litigants.

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In 2020, COVID-19 forced all health care journalists to postpone their regular work, but later that year, Vanderveen became curious about how many hospitals filed debt-collection suits during the pandemic. His data showed a sudden drop in lawsuits from UCHealth.

Also in 2020, two Kaiser Health News journalists — senior correspondent Jay Hancock and data editor Elizabeth Lucas — were Pulitzer Prize finalists for reporting in 2019 on the predatory billing practices of the University of Virginia Health System. In an eight-part series, Hancock and Lucas exposed how UVA “relentlessly squeezed low-income patients — many into bankruptcy — forcing the nonprofit, state-run hospital to change its tactics,” the Pulitzer prize committee wrote, as AHCJ reported in a tip sheet published that same year.

Did UVA’s experience prompt UCHealth to change its tactics? Vanderveen wondered. “On the surface, it appeared as if UCHealth had a change of heart because no more lawsuits were filed under UCHealth’s name,” he explained. “It went from about hundreds per quarter to like two or three per quarter.” About that same time, he heard about Credit Service Co., a debt collector in Colorado Springs, that was a party to some UCHealth lawsuits against patients, he said. [See image from 9News.]

A trove of data in court filings

As Vanderveen’s data showed, UCHealth never stopped suing patients in early 2020. While it didn’t do so in a publicly traceable way, he could still find cases by searching court records for Credit Service Co. as a plaintiff, he said.

Visiting the courthouse was also useful, Ingold added. “Going to court is something I would highly recommend, because your local jurisdiction is probably hearing many debt-collection cases on the same days,” he said. “Plus, the lawyers who handle those cases are all the same people.” These courts had long dockets of cases that debt collectors filed, he noted. 

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Inside Colorado’s courts, the reporters found defendants waiting to respond to debt-collection summonses. “Chris [Vanderveen] would walk up and down a row of people, and ask, ‘Who’s here for a UCHealth case,’ and ‘Who’s being sued by the Credit Service Company?” Ingold said. Several defendants raised their hands, he noted. At the same time, Ingold found people named in suits that other health care entities brought, leading to more stories.

In addition, the reporters called legal services groups, consumer assistance programs, law school clinics and any other organization helping consumers, especially those with low income, Ingold said. They would have at least some insight into who is suing over medical debt.

Another reporting strategy is to seek defendants who filed answers to complaints, meaning the case may go to a hearing or trial, Ingold advised. In those case files, reporters may find creditors’ names, he said. Also, defendants who challenge these cases may want to talk to reporters, he added.

The value of collaboration

One of the most important lessons learned was the teamwork that came from the collaborative nature of the project. At COLab, journalists no longer compete as they once did to be the first to break stories. Instead, COLab journalists from different newsrooms work on projects together to serve the public good, Ingold explained.

“What we produce for the news collaborative can be distributed to pretty much any newsroom in Colorado that wants it,” he added said. “My story about the lawsuits ran on our site, at www.ColoradoSun.com, and it ran on the websites of the other news collaborators. Also, it ended up in The Denver Post and a number of other places around the state.”

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COLab makes efficient use of the limited staff left behind in many newsrooms when fewer news outlets can devote multiple staff to any one project, he commented. “Also, we can help all the participating newsrooms by providing content everybody can use,” he added.

In addition to working with multiple newsrooms in Colorado, COLab also worked with Noam N. Levey, a senior correspondent at KFF Health News, who has led KFF’s award-winning project, Diagnosis: Debt.

Levey introduced the Colorado reporters to the staff at the Urban Institute who have researched how medical debt and collections affect immigrants and people of color, said Tina Griego, COLab’s managing editor. Data from the Urban Institute led to this story, “Medical Debt Affects Much of America, but Colorado Immigrants Are Hit Especially Hard,” by Rae Ellen Bichell and Lindsey Toomer, of Colorado Newsline, Griego explained. Bichell is a Colorado correspondent for KFF Health News and Toomer covers politics and social justice for Colorado Newsline, which is part of the States Newsroom, a nonprofit covering state capitals.

Resources

  • “UCHealth sues thousands of patients every year but doesn’t use its own name to do it,” Colorado Sun and 9News, Feb. 16, 2024.
  • “Colorado hospital giant’s lawsuits fill county courtrooms with defendants and confusion,” 9News, March 1, 2024.
  • “Medical Debt Affects Much of America, but Colorado Immigrants Are Hit Especially Hard,” April 3, 2024.
  • “Hospitals suing patients over unpaid bills would have to put their names on lawsuits under new Colorado measure,” Colorado Sun, April 12, 2024.
  • “Loophole allowed UCHealth to sue thousands of patients under another business’ name,” 9News, June 27, 2024.



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Colorado breweries warn new tax hike bills could lead to more small business closures, job losses

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Colorado breweries warn new tax hike bills could lead to more small business closures, job losses


A bartender pours a beer at a bar in Summit County on Thursday, Feb. 29, 2024. A new bill intended to provide funds for alcohol-related addiction prevention, treatment and recovery programs could cost small breweries and wineries up to 160% in taxes and fees.
Andrew Maciejewski/Summit Daily News

Colorado brewers are raising red flags over new bills that could increase taxes and fees on small alcohol businesses, many of which are already struggling to keep their doors open.

House Bill 1271, known as the Alcohol Impact & Recovery Enterprises bill, creates three government-run enterprises designed to fund programs for alcohol-related addiction prevention, treatment and recovery programs — all funded through fees imposed on alcoholic beverages. The bill is sponsored by four Democratic lawmakers.

Colorado per capita alcohol consumption is higher than the national average. The state also has one of the higher alcohol-related death rates in the country, with around 24 deaths per 100,000 residents as of 2023, according to data from Trust for America’s Health. 



Data from the Colorado Health Institute shows not everyone who could benefit from treatment for alcohol use disorders currently receives it, largely due to factors like cost, accessibility and stigma.

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Were the bill to pass, manufacturers and wholesale distributors would have to pay five cents in fees per gallon of beer, cider and apple wine, seven cents per liter of wine and 35 cents per liter of spirits to be used toward alcohol-related treatment and recovery programs. As state lawmakers plan cuts to balance a $850 million budget deficit, advocates for these programs argue the funding from the bill could help offset any potential losses.



For local breweries and wineries in the mountains, however, this would be a significant financial blow to an already struggling industry.

“This is not the time for us to be implementing new taxes on an industry that is hurting right now,” said Carlin Walsh, owner of Elevation Beer Company and chair of the Colorado Brewers Guild. “As a brewer, I feel like the state is looking a gift horse in the mouth.”

Beer, wine, cider and spirits generate around $22 billion in economic activity for Colorado, according to the Colorado Beverage Coalition. The state is home to nearly 420 breweries, 145 wineries, nearly 20 cideries and 100 distilleries. 

Faced with rising costs and waning appetites, however, over 100 Colorado breweries have shuttered their doors since 2024, marking the first time since 2005 that more breweries closed than opened. Meanwhile, national surveys confirmed alcohol consumption in the U.S. is at a 90-year low.

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Walsh said breweries already pay eight cents per gallon in taxes, which for a company like Elevation translates to roughly $30,000 in taxes annually. Fees from the new bill would add another $12,000 to its yearly expenses.

“The alcohol industry at large is one of the most regulated industries in the United States, period. We already pay a very heavy tax,” Walsh said, adding that breweries provide tens of millions of dollars to Colorado’s general fund. “Our position is that there’s already money available. Those dollars go to the general fund, and it’s really up to the state to manage what we already provide and to decide what is their priority. We don’t feel like it should be on our shoulders to increase the amount that we pay to the state just because the state wants to endeavour on new programs.”

The Colorado Beverage Coalition said the imposed fees would be a 60% cost increase on alcohol businesses. Paired with an estimated 100% increase in taxes from a referred ballot measure proposed last week — House Bill 1301 — the impacts would be disastrous for the industry, Walsh said.

House Bill 1301 would refer a measure to the November ballot that would increase excise taxes on alcohol and increase sales and excise taxes on marijuana in order to fund a mental health hospital in Aurora.

“Our brewery and so many other breweries, we just don’t have capacity for that. We’re already a low margin business to begin with,” Walsh said. “If this happens, this is going to drive further consolidation amongst our members. It’s going to drive further closures.”

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Larger alcohol companies may be in a better position to absorb some of the costs from increased fees, said Shawnee Adelson, executive director for the Colorado Brewers Guild. Small businesses in rural resort markets, on the other hand, are not in that position.

“At a certain point when costs just keep going up and up and up, there’s no more place to cut,” Adelson said.

Colorado jobs, tourism could see ripple effects

The Colorado Beverage Coalition estimates House Bill 1271 could impact several of the 131,000 brewery, winery and distillery jobs in the state.

The Colorado Beverage Coalition estimates House Bill 1271 would jeopardize 131,000 brewery, winery and distillery jobs in the state, in addition to “greatly increasing cost on consumers.” Walsh said an average brewery would “no doubt” have to cut jobs if either, or both, bills were to pass.

“Depending on the size of a brewery, it could be the cost of a full-time staff or multiple full-time staff to cover the cost of these (fees), so there is a real concern about job losses due to increased costs,” Adelson added.

The Colorado Distillers Guild also argues the bill would be a blow to the tourism industry, as visitors could be deterred by increased consumer costs and a dwindling beer culture.

“A lot of (breweries) will either have to absorb that cost or pass it on to the consumer. And right now, in the current state of the economy, we understand that a lot of consumers are price conscious right now, which is also contributing to lower consumption,” Adelson said. “Passing on that price is going to be really hard for consumers to swallow as well.”

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The bill is not entirely new, as similar legislation by the same name was proposed in 2024. The original bill, which died in committee, received significant pushback from Gov. Jared Polis due to concerns that it would end up raising prices for consumers. Polis also requested that sponsors exempt beer companies from the fees.

Aside from a stakeholder meeting ahead of the bill’s introduction, Adelson said the Colorado Brewers Guild had not been contacted by lawmakers about the plan for an excise fee increase.

“We’ve had two years to sit down and have discussions with lawmakers about this. Nobody has reached out. Nobody has sat down with us to say, ‘Hey, this is our goal. We wanna get this done. How can you guys meet us halfway?’” Walsh said.

Being an enterprise fee rather than a tax, House Bill 1271 would not go to voters for approval. Instead, the change would be implemented through legislation only and automatically go live in July 2027. Because the bill would create three separate enterprise fees for beer, wine and spirits — each capped at $20 million annually per state law — the state could collect up to $60 million from all three.

The bill would also create a new 11-member board appointed by the governor to oversee the three enterprises, which would be made up of alcohol industry representatives, behavioral health professionals, public health experts and individuals in recovery.

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On top of feeling that a financial change of that magnitude should be left up to voters, Walsh said he’s heard from businesses that are concerned about the potential for the board to increase fees in the future.

“There are very few guard rails around how this enterprise can operate, including the ability for them to raise the tax price that we’re currently paying. There’s very few restrictions within this bill that control how much they can increase that tax,” Walsh said. “In two years they could come back and say, ‘Oh we’re going to increase it another five cents or 10 cents.’”

For Adelson, the fees would impact more than just manufacturing facilities and business  operations.

“They’re community gathering spaces and they’re third places,” Adelson said. “They give back a lot and so I think I just want to make sure that the consumer realizes that we’re not just talking about production facilities, but your local neighborhood brewery that’s down the street and that your neighbours own or your friends work at.”

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New affordable housing communities in Colorado aim to serve families with the greatest need

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New affordable housing communities in Colorado aim to serve families with the greatest need


LONGMONT, Colo. — For Skye Beck and her husband, the decision to uproot their family of five from Nebraska and relocate to Colorado for a new job wasn’t easy — especially when it came to the cost of living.

“It was looking like it maybe was not going to be an affordable option for us to come out here,” she said. “We did find one eventually, but it was still just the two-bedroom apartment, and that was just a little tight for us for the year.”

After a year of cramped living, the Beck family moved into a much more spacious apartment at Ascent at Hover Crossing in Longmont. The newest affordable housing development in Boulder County, which officially opened its doors on Tuesday, includes four-bedroom units — a rarity in affordable housing.

“I think they only have six of those [units],” said Beck. “To have that much space for the five of us is a blessing.”

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Katie Pung, housing development project manager for the City of Longmont, said the larger units were a deliberate priority.

“Having those larger units for families really came together in a way that we feel like is going to be meaningful for Longmont families,” Pung said.

The mixed-income apartments are available for a variety of incomes, with units ranging from 30% to 80% of the Area Median Income (AMI) — about $31,650 to $84,400 for a one-person household.

The development also includes an early childhood education (ECE) center on site, giving families an affordable childcare option.

OUR Center, a longtime local nonprofit specializing in subsidized early education for low-income families, will operate the center. The facility is set to open later this year, with availability for both residents and the broader Longmont community.

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It reflects a growing statewide push to incorporate childcare into housing projects through state funding and technical assistance for developers.

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A similar effort is underway in Denver’s Berkeley neighborhood, where the Colorado Coalition for the Homeless is partnering with the Denver Housing Authority to develop Charity’s House, a family housing development with 135 new units — also with an on-site child care center.

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At least 40% of the units will be reserved for families earning 30% of the Area Median Income (AMI) — currently $37,850 for a family of three and $42,050 for a family of four in Denver. All units will be income-restricted to those at or below 60% AMI.

Cathy Alderman, chief communications and public policy officer for the Colorado Coalition for the Homeless, said land partnerships help reduce both cost and construction time.

“If we can enter into a partnership with another organization that owns land, and we can build on that, that cuts our cost and time down considerably,” Alderman said.

The DHA Delivers for Denver (D3) bond program, a partnership between DHA and the City of Denver, has funded 11 property acquisitions since its inception in 2019, according to Denver Housing Authority Chief Real Estate Officer Erin Clark.

“It is public partnerships like that and public-private partnerships that, even us, working with a nonprofit here, that are what deliver more housing across the community,” said Clark. “It’s just people thinking outside of the box and leveraging resources and saying, ‘What do you do best, and what do we do best, and how can we work together to make all this happen?’”

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Construction is slated to begin in late 2027.

Denver7 has heard from multiple experts through the years about the lack of affordable housing options for families and seniors.

Years-long waitlists and housing lottery odds often make it tougher. More than 15,000 children and youth are currently experiencing homelessness in Denver.

Colorado has been making significant housing investments since the COVID-19 pandemic, leading to more affordable housing developments across the state. But Alderman said there is still more work to be done.

“My biggest concern is that not all of that housing is being targeted for those households in the greatest need,” Alderman said.

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Longtime Longmont resident Karen Howerton remembers a time when rents hovered in the $600 range.

“When I came back to Longmont six years ago, I was surprised at how much inflation had happened here and how big the town had grown,” she said.

The last affordable housing development she lived in didn’t quite fit all her needs.

Now, she joins the Becks as one of the first tenants at Ascent at Hover Crossing.

“What I wanted to come over here for was a washer and dryer — I didn’t have that at my other place — and the little balcony, you know,” she said. “I’ve met a few of the neighbors already, and I can’t say enough about it. It’s just a great place to be, for sure.”

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Howerton and Beck say the little comforts go a long way toward making a place feel like home.

“I mean, everyone deserves to have a space and be able to afford it without worrying about all the other parts of life,” Beck said. “I feel like here we’re able to finally rest a bit and able to enjoy life, but it shouldn’t be limited to just a waitlist.”

Coloradans making a difference | Denver7 featured videos


Denver7 is committed to making a difference in our community by standing up for what’s right, listening, lending a helping hand and following through on promises. See that work in action, in the videos above.

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Colorado weather: Up to 14 inches of snow forecast for mountains

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Colorado weather: Up to 14 inches of snow forecast for mountains


Snow started Monday night in Colorado’s mountains and will continue throughout the week, likely making its way into the Denver area on Friday, according to the National Weather Service.

Colorado’s mountain roads, including Interstate 70 at the Eisenhower-Johnson Tunnel and Berthoud Pass, were already snow-covered Tuesday morning, according to the weather service.

“With more snow to come throughout the day, a Winter Weather Advisory was issued for the Front Range Mountains,” forecasters said.

That advisory will be in effect until 8 p.m. Tuesday for parts of Jackson, Larimer, Boulder, Grand, Gilpin, Clear Creek, Summit and Park counties, including Rocky Mountain National Park. Additional snow accumulations between 6 and 14 inches are possible on Tuesday, forecasters said in the alert.

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As of Tuesday, the weather service’s snow forecasts included:

  • 2 inches on I-70’s Vail Pass, with up to 3 inches possible
  • 3 inches in Winter Park, with up to 4 inches possible
  • 4 inches in Eldora and on U.S. 6’s Loveland Pass, with up to 5 inches possible
  • 4 inches on U.S. 40’s Berthoud Pass near Winter Park, with up to 7 inches possible
  • 5 inches at Bear Lake in Rocky Mountain National Park, with up to 7 inches possible
  • 6 inches on U.S. 34’s Milner Pass in RMNP, with up to 8 inches possible
  • 7 inches on Colorado 14’s Cameron Pass near Fort Collins, with up to 8 inches possible
  • 9 inches on Mount Zirkel, the highest summit of Colorado’s Park Range of the Rocky Mountains, with up to 11 inches possible

“Travel could be very difficult,” weather service forecasters stated in the winter weather advisory. “The hazardous conditions will impact the Tuesday morning and evening commutes.”



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