Colorado
Opinion: New Colorado report shows the urgent need to rein in hospital facility fees for patients like mine
As a physician in Colorado, I see firsthand how high health care costs are burdening families. Insurance premiums and deductibles are already stretching budgets, but unregulated facility fees are making things worse. These hidden fees add unexpected costs to routine care, further burdening patients who are trying to access the medical services they need in the future. A new report illustrates even more clearly the need to rein these fees in.
Facility fees, which can range from a hundred dollars to over $800, are additional charges that hospitals tack onto your bill when you receive care at a hospital-owned clinic or provider. These fees are often separate from the cost of the actual medical service and can drastically increase the price of a doctor’s visit or procedure. Patients often don’t realize they’re being charged until they get the bill, leaving them with financial stress and uncertainty about getting further treatment.
Colorado recently released the Hospital Facility Fee Report, providing crucial insight into the growing problem of these fees. The 200-page report stems from House Bill 1215, passed by Colorado lawmakers in 2023. The bill created a steering committee composed of health care consumers, payers and providers, to examine the prevalence of facility fees and their impact on consumers.
The steering committee had limited data to work with, given that differing billing practices and that the fees are generally poorly disclosed, has made researching the fees a difficult task. Still, the findings were alarming and confirmed what patients and providers alike have been experiencing for years: Facility fees are driving up health care costs without improving care.
One of the most concerning findings in the report is that patients who see a doctor or provider affiliated with a hospital in Colorado are paying nearly double the amount in added fees compared to those who visit independent providers. Between 2017 and 2022, Coloradans paid over $13.4 billion in facility fees. Even worse, the amount of these fees has been increasing by 10% every year. These costs are unsustainable for patients and create yet another barrier to health care access.
It’s no coincidence that facility fees have risen at the same time that large hospital systems are buying up independent providers at an unprecedented rate. This consolidation of health care providers allows hospitals to charge more unregulated fees, boosting their profits while limiting affordable options for patients. As competition dwindles, Coloradans are left with fewer choices for health care, and they’re paying the price — literally.
The Hospital Facility Fee Report underscores the need for swift and comprehensive action from state leaders. Without additional protections, these fees will continue to increase, making health care more expensive for everyone.
As a physician, I see how this directly harms patients. Many are delaying necessary care because they simply cannot afford the fees that come with a hospital-affiliated provider.
The key takeaways from the report are clear: Facility fees do not result in better patient outcomes, and they create uncertainty around health care costs, often preventing patients from getting the care they need.
Colorado has already taken the first step by commissioning this report, but it’s not enough. We must act now to regulate facility fees and protect patients from skyrocketing health care costs.
Our leaders need to do more to protect patients from rising hospital costs, and consumers deserve to know what their costs are so they can anticipate their family budgets. Eighty-three percent of Coloradans report being worried about affording health care costs now and in the future.
Our legislators need to take the concerns of their constituents seriously. Coloradans support legislation that would require hospitals to provide up-front cost estimates, set standard payments to hospitals for specific procedures, impose price controls between insurers and hospitals, and create policies that drive competition. By doing so we can take yet another step toward ensuring health care is truly affordable and accessible for all Coloradans.
Dr. David Silver, MD, MPH, of Boulder, is a medical advocate whose 46-year career in emergency medicine, occupational health and primary health care was based in Colorado. The views expressed are their own and do not represent the opinions of any entity with which they are affiliated.
The Colorado Sun is a nonpartisan news organization, and the opinions of columnists and editorial writers do not reflect the opinions of the newsroom. Read our ethics policy for more on The Sun’s opinion policy. Learn how to submit a column. Reach the opinion editor at opinion@coloradosun.com.
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Colorado
Greer, Wooten combine for 20, Colorado women advance in Big 12 Tournament with 55-48 win over Kansas
KANSAS CITY, Mo. — Logyn Greer and Desiree Wooten both scored 10 points in No. 6 seed Colorado’s 55-48 win over No. 11 seed Kansas on Thursday night to advance to the quarterfinals of the Big 12 Conference Tournament.
Greer shot 4 for 7 from the field and drained both her attempts from 3-point range from the Buffaloes (21-10). She had six rebounds and four blocks. Wooten added four assists.
Colorado was in foul trouble early, racking up seven fouls in the first quarter. A 9-0 run in the second quarter broke the game open for the Buffaloes and they entered halftime up 26-18. Their defense held Kansas to 36% (19 of 53) from the field and 15% (2 of 13) from 3-point range.
Kansas (19-13) was led in scoring by S’Mya Nichols, who put up 14. Her and Sania Copeland scored the only 3-pointers for the Jayhawks.
Colorado: Will play No. 3 seed Baylor on Friday. The Lady Bears are ranked No. 20 in the country.
Kansas: Will wait for an invitation into a postseason tournament.
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Colorado
Deen: Avalanche Solve Roster Needs. What’s Next? | Colorado Hockey Now
The trade deadline is less than 24 hours away and the Avalanche have already made the three moves that had been clear-cuts needs for the team.
They needed to improve their third pair. They did that by swapping Samuel Girard for Brett Kulak.
They needed to replace the recently departed Ilya Solovyov with a more capable No. 7 option on the blueline. That was accomplished with Wednesday’s trade for Nick Blankenburg.
Most importantly, the Avs needed a third-line center. On Thursday, they paid a hefty price to acquire Nicolas Roy from the Toronto Maple Leafs.
These are all things that had to be done. Now? They have nearly $7 million in available cap space (with Logan O’Connor on LTIR), with an opportunity to improve on the roster they have. This is the part of the trade deadline where general manager Chris MacFarland can bolster the team, find those luxury additions, and maximize his team’s chances and winning a Stanley Cup.
So what could that look like?
Most of the season has seen Ross Colton, Victor Olofsson, and even Gavin Brindley occupy the wings on the third line. With Roy expected to settle into that 3C role, there’s an opportunity to build on the wing. Elliotte Friedman mentioned last week that the Avs could move on from Colton. If so, that would give them a lot more cap space and a valuable asset they can use on the trade market to bring in a solid middle-six winger. Perhaps someone like Blake Coleman.
Olofsson has chemistry with Roy dating back to last season with Vegas, but you have to wonder if they’d be looking to upgrade on his position, too.
That leaves Jack Drury on the fourth line, centering Parker Kelly and Joel Kiviranta. Brindley slots down to the No. 13 forward (when everyone is healthy), while Zakhar Bardakov is the 14th option.
If O’Connor returns before the postseason, he instantly rejoins the fourth line. That would push Kiviranta out, and he’d be the 13th forward just like he was last year. Even in that scenario, I do wonder if the Avs decide to improve on Bardakov. He’s a young centerman who has impressed in limited minutes but has struggled to gain the full trust of the coaching staff.
There’s also the option to add another depth defenseman. Right now, an injury to Kulak or Devon Toews would again force Colorado to have five right-shot defensemen in the lineup. Blankenburg, who also shoots right, would be an ideal fill-in if an injury were to strike on the right side.
But what about another depth option? Colorado won the Cup in 2022 with both Ryan Murray and Jack Johnson on the outside looking in. After Girard’s injury, Johnson stepped in. But it didnd’t hurt to have multiple depth options just in case.
Could the Avs target another depth blueliner? If so, will they go for a bigger body? I’ve seen the name Urho Vaakanainen floated around. He would be the type of left-shot defenseman who could fill that role as an extra. Albeit his $1.55 million cap hit might be too large to take on without retention for such a limited role.
Colorado
Colorado Parks and Wildlife advances controversial fur ban petition during packed meeting
A contentious fight over fur stole the show at day one of the Colorado Parks and Wildlife Commission March meeting. The drama centered around a citizen petition to prohibit the sale of some wild animals furs.
The public meeting was packed with hunting advocates and animal rights groups. A total of 120 people signed up to speak during public comment at the hours-long meeting, not including those who submitted written or virtual comments.
The turnout was so big that Colorado Parks and Wildlife increased security. The meeting was held at the DoubleTree Denver-Westminster. CPW said they conducted security checks at the entrance at the hotel’s request to enforce the venue’s ban on weapons.
Ultimately, the commission voted 6-4 to move a proposed fur ban into the rulemaking phase.
It’s a win for the animal rights groups that submitted the petition.
While the commission did not all-out adopt the petition as it was submitted. They chose to initiate a rulemaking process for a potential ban to be approved down the line.
When the motion was advanced, it was met by jeers and some cheers from an audience full of hunters, trappers and advocates.
“We were hoping that there would be an opposition to moving the petition forward for the variety of reasons,” said Dan Gates, executive director of Coloradans for Responsible Wildlife Management. “It’s kind of frustrating that you sit there that long and you go through that much back and forth. On so many different levels. So it’s kind of disappointing.”
“This is a win. So it’s a good day,” said Samantha Miller, the senior carnivore campaigner for the Center for Biological Diversity.
Miller submitted the petition, which sought to ban the for-profit sale of fur from Colorado wildlife known as furbearers.
Those are 17 species including fox, bobcat, beaver, raccoon and coyote.
“Right now, furbearers are hunted and trapped in unlimited numbers in the state of Colorado, they also don’t enjoy the same protections against commercial markets that other big game species do enjoy, and in a time of biodiversity crisis and climate change, it’s critical that we up our management levels, modernize them, to reflect the crises we’re facing at the time, and ally for align for rare management with other species,” Miller said.
Colorado law already bans the commercial sale of big game.
As submitted, the petition would not limit the trapping or hunting of furbearers, just the sale of their furs and other parts, including hides, pelts, skins, claws and similar items. The sale of furs from farmed animals or wild animals killed outside Colorado would not be impacted.
The petition proposes exceptions, including fishing flies, western hats and scientific or educational materials.
The petition argues that commercial wildlife markets historically contributed to severe wildlife declines in North America and that modern conservation under the North American Model of Wildlife Conservation calls for eliminating markets for wildlife products.
“So what we’re saying is, let’s at least take this commercial piece off the table. We don’t allow this for any other wild animals, and let’s move forward with this petition,” Miller said.
Public comment speakers who supported the petition urged CPW to put compassion for animals ahead of commercial profits.
While the majority of speakers spoke against the proposed ban, saying the existing science-based wildlife management is working, and pointing out the Coloradans who rely on this industry for their livelihood.
Many pointed out that Denver voters rejected a similar fur ban in 2024.
“As a personal furbearer harvester over the course of the last 50 years, and a wildlife control operator and the president for the Colorado Trappers and Predator Hunters Association as well. We can adamantly say that we are for science-based wildlife management, and there’s been no indication whatsoever from the science-based wildlife managers that there’s a problem with any one of the 17 furbearers in the state of Colorado,” Gates said.
CPW staff recommended denial of the petition, saying the division does not have solid evidence that commercial fur sales are leading to unsustainable harvest levels of these animals.
Staff also worried about potential enforcement issues with proposed exemptions, and that the petition contradicts a state law allowing landowners to hunt, trap, and sell furs from furbearers causing damage to property.
“Colorado Parks and Wildlife laid a very good synopsis down when they were putting that recommendation for denial together, and some of these things will play out, and we’ll just have to see how it does,” Gates said.
The commission’s vote to initiate rulemaking leaves the door open for those concerns to be addressed.
“Rulemaking will clear up all of those misalignments that they have found or identified and make sure that it goes forward to the letter of the law and honoring the intent of the visit of the petition,” Miller said. “It’s a good day, I think, for wildlife to bring our regulations consistent and to start modernizing our furbearer management.”
“It seemed today that the vote was more social minded, more personal preference or ideological minded, as opposed to looking at the science and the data that was given by the agency,” Gates said.
See the petition below:
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