Colorado's standardized health-insurance plan, known as the Colorado Option, is changing how consumers interact with insurance, according to a new report tracking the plan's development since 2013. Today, an increasing number of Coloradans are choosing the plan, largely because of its value.
Erica Pike, director of policy and government relations for the Colorado Academy of Family Physicians, explained many insurance plans offered after the Affordable Care Act was rolled out in Colorado did not cover comprehensive preventive services, which frustrated doctors.
"And so, looking for a way to incentivize and design a plan that centered primary care was something that we were really hopeful for," she said.
After lawmakers passed House Bill 1232 in 2021, the Colorado Option was developed with extensive input from consumers, insurers, health providers, rural communities and other stakeholders. In addition to offering preventive care, other primary goals for the new plan were to make insurance easier to understand and more affordable, and to improve health outcomes for historically disadvantaged communities.
Jen is a consumer with diabetes who was cited in the report compiled by the Colorado Consumer Health Initiative. She said choosing a Colorado Option plan made the most sense, in part because Continuous Glucose Monitoring coverage was available with a zero-dollar co-pay in the schedule of required benefits.
"It covered the most prescriptions, and did not require step therapy for Ozempic. And it indicated that I would probably, with prior authorization, be able to stay on the insulins I was on," she said.
This year, more than 93,000 Coloradans enrolled in Colorado Option plans, more than doubling last year's enrollment and representing more than a third of all enrollments through Connect for Health Colorado. More insurers are also offering plans, providing much-needed competition in 12 counties.
The Colorado Division of Insurance is scheduled to hold public hearings on the plans later this year if insurers do not meet premium reduction targets, and will evaluate the plan's progress in both affordability and health equity in 2026.
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Colorado lawmakers are working to ensure all Coloradans with health coverage for ambulance services are not hit with surprise bills or charged higher out-of-network rates.
Rep. Karen McCormick, D-Longmont, said when patients are in their most vulnerable moments, their focus should be on their health, not navigating coverage loopholes or worrying about affording a bill.
"When people call 911, they don't have a choice on who is going to show up," McCormick pointed out. "They don't have the ability to shop around."
The bill would close a gap in surprise-billing protections passed in 2019 to include the nearly 75% of Colorado ambulance services that are operated by cities, special districts and other political subdivisions. First responders and consumer advocates support House Bill 1088. Some insurance companies are lobbying against the measure and claimed it could lead to higher premiums paid by individuals and their employers.
McCormick underscored the measure would apply to people who already have coverage for ambulance services listed in their insurance plans.
"If indeed these services are covered, if (insurers) are saying it's going to raise premiums, it doesn't make any sense because they should have been covering it all along," McCormick contended. "We do have data that shows that it will not raise premiums."
McCormick noted the bill also provides assurances to ambulance agencies across the state by requiring insurance carriers to pay the full rates set at the local level by cities and other governing bodies. Currently, insurance companies get to decide how much of the rate to pay.
"This is very much a local control issue," McCormick stressed. "It will also create a public-facing website of rates that have been adopted by these political subdivisions."
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States like North Dakota could see unique effects under President Donald Trump's approach to tariffs.
Uncertainty lies ahead, but one expert said consumers should be prepared. Going into this week, prospects were raised about the U.S. imposing tariffs on goods from counties like Canada and Mexico. The plans were paused for a month.
Ernie Tedeschi, director of economics of the Budget Lab at Yale University, said people should expect more of the president's rhetoric and know how to protect their wallets. If tariffs against Canada come back into play, the ripple effect on household budgets could be noticed in certain ways, especially in this part of the United States.
"We import a great deal of crude oil and natural gas from Canada, particularly in the Midwest," Tedeschi pointed out. "There's a heating bill effect. There's also a gasoline bill effect."
A significant percentage of fruits and vegetables come from Mexico but he cautioned against stockpiling them because they will likely expire before they're eaten, wasting your money. Groups like AARP said one way to prepare for possible changes is to find deals on dining out, with restaurants offering more discounts these days.
Lumber imports could become more expensive, with added pressure to rebuild homes lost in the Los Angeles wildfires. Tedeschi recommended if you're considering a home renovation project, it is something to keep in mind. He added if you feel you cannot hold off on a big-ticket purchase, like an appliance, there still could be wiggle room in the short term.
"Electronic stores, for example, get through their nontariff stock before they get to the tariff stock," Tedeschi noted.
Those prices might not escalate as quickly under a rapidly changing trade war if the local company has a big inventory ahead of time.
For durable goods, he emphasized it is all about doing the research to make sure the financial sting is not so bad. Cars are another example.
"Even if you think you're buying an American brand, remember that a lot of American brands are assembled in Mexico and Canada, and would be subject to tariffs," Tedeschi observed. "Or least some parts of them would be subject to tariffs."
While pauses were announced for Canada and Mexico, new tariffs for China were on the table this week.
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As Los Angeles starts to recover, residents across the Pacific Northwest are being reminded of the risks wildfires pose.
Timothy Ingalsbee, executive director of the nonprofit Firefighters United for Safety, Ethics and Ecology, said firefighters are quickly overwhelmed by today's fast-moving wildfires. He noted simple, proactive measures such as sweeping your roof of debris, keeping your gutters clean and installing screens on roof vents are cheap and effective ways of protecting homes.
However, such efforts are not just up to individuals, Ingalsbee emphasized, adding homeowners need to approach the problem as a community.
"Because if you do all these things to protect your home but your neighbor doesn't, it's your neighbor's house that will catch fire and then put yours at risk," Ingalsbee explained.
Ingalsbee urged people to keep lawns mowed and warned not to leave flammable objects close to the house. He stressed keeping up on chores, as well as implementing more prescribed burns outside urban areas, will go a long way to protecting communities from wildfires.
Once a fire starts moving house to house, Ingalsbee acknowledged it is almost impossible to control. He added people living rurally as well as in urban areas need to think about safety because embers from wildfires can travel for miles and ignite homes easily.
"If anything is teaching us a lesson now, in this era of climate change, we're all living in the fire zone," Ingalsbee pointed out.
Ingalsbee encouraged everyone to think about their senior or disabled neighbors who may not be able to tend their own homes, and give support as they can. He said everyone should feel empowered to help protect their communities. If we all do our part, Ingalsbee added, wildland firefighters will not be needed to protect homes from wildfires because they will not ignite in the first place.
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