Fewer Colorado residents enroll in HMOs, hospital profits increase

Fewer Colorado residents enrolled in HMO plans in 2005, but Denver-area hospitals "enjoyed their strongest profits in recent memory," according to findings released Friday from the Colorado Managed Care Review 2006, the Denver Post reports.

For the report, Minnesota health care analyst Allan Baumgarten examined financial information from federal cost reports filed by hospitals participating in Medicare among other sources.

The report found that enrollment in HMOs has declined steadily since 2000, including a nearly 10% drop in 2005 to 1.03 million Colorado residents compared with 1.6 million six years ago.

The report attributed the decreased enrollment to employers who have stopped offering insurance or moved from comprehensive HMO plans to PPO plans "and similar products that have thinner benefits and additional enrollee cost-sharing."

Colorado HMOs had net income of $73.6 million in 2005, down from $107.5 million in 2004 and $192.3 million in 2003, the industry's most profitable year. Meanwhile, insurance premiums increased by 10.8% in 2005, higher than the national average of 9.2%.

The report predicted that insurance premium increases could level off as a result of consolidation in the insurance industry and the construction of new hospitals.

Baumgarten noted that five new hospitals have been erected in Denver, which has enabled insurers to better negotiate contracts with hospitals over reimbursement rates.

While employers and consumers paid higher premiums but received reduced benefits, hospitals reported net income of $384 million in 2005, according to the report (Shanley, Denver Post, 11/9).


Kaiser Health NewsThis article was reprinted from khn.org with permission from the Henry J. Kaiser Family Foundation. Kaiser Health News, an editorially independent news service, is a program of the Kaiser Family Foundation, a nonpartisan health care policy research organization unaffiliated with Kaiser Permanente.

Comments

The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical.
Post a new comment
Post

While we only use edited and approved content for Azthena answers, it may on occasions provide incorrect responses. Please confirm any data provided with the related suppliers or authors. We do not provide medical advice, if you search for medical information you must always consult a medical professional before acting on any information provided.

Your questions, but not your email details will be shared with OpenAI and retained for 30 days in accordance with their privacy principles.

Please do not ask questions that use sensitive or confidential information.

Read the full Terms & Conditions.

You might also like...
Patients couldn’t pay their utility bills. One hospital turned to solar power for help.