Who We Are
The Colorado Consumer Health Initiative (CCHI) is a nonprofit, consumer-oriented, membership-based health advocacy organization that serves Coloradans whose access to health care and financial security are compromised by structural barriers, affordability, poor benefits, or unfair business practices of the health care industry.
Vision
All Coloradans have equitable access to affordable, high-quality health care.
Our Work
At the Capitol
House Bill 21-1198 Hospital Discounted Care: CCHI worked with partner organizations to pass HB21-1198 in 2021, which set requirements Colorado hospitals must meet for screening and providing discounted care to eligible Coloradans. Hospitals must screen for eligibility for public health insurance programs and provide discounts on bills to help make all care received in a hospital facility more affordable. HB21-1198 also established important consumer protections around payment plans and debt collections. The CCHI team worked tirelessly during the implementation process to ensure that the intent of the legislation was realized.
Enforcement of HB21-1198: Two years after implementation, CCHI has shifted our focus to ensuring hospitals meet their requirements and that consumers are accessing the discounted care they are entitled to. In November 2024, CCHI released a comprehensive report of Colorado hospital compliance with HB-1198, identifying significant room for hospitals to improve their communication with community members about HDC services and protections, particularly for Spanish-speaking patients.
House Bill 23-1215: Limits on Hospital Facility Fees was signed into law by Lt. Governor Primavera in April of 2023. As large shares of the health care market are absorbed into corporate health care systems, “facility fees”--which were originally only used in emergency departments–are being tacked onto more and more services, driving up the cost of health care at the expense of the consumer. The bill creates a study of facility fees so lawmakers and advocates can better understand them, establishes patient-facing transparency measures, and prohibits facility fees on preventative services.
Consumer Assistance Program
In June 2018, CCHI founded a Consumer Assistance Program (CAP) that helps individual consumers navigate medical billing, claims and access to care issues, and prescription drug costs. In addition to providing free direct assistance to consumers, CAP informs CCHI’s policy and regulatory advocacy by surfacing issues consumers face on a daily basis. This helps us identify emerging concerns and potential policy changes. In 6 years, CAP has served nearly 4,000 Coloradans, and saved consumers over $9 million in unjust medical costs!
Consumer Story: In January of 2023, 4 months after the implementation of Hospital Discounted Care (HDC), Mia, a 61 year old woman visiting her daughter, broke both of her wrists and went to the hospital. Mia was screened for HDC, and was found to be eligible for a 100% discount on her care. However, when Mia went into her scheduled surgery a week later, she was told that she would have to pay $11,000, and would not receive the necessary care until she did so. Mia’s daughter was forced to max out all of her credit cards to pay for the surgery. Not only was Mia’s discounted care not applied, when the surgery was scheduled Mia and her daughter did not receive the required Good Faith Estimate regarding the cost of care. Mia and her daughter came to CCHI’s Consumer Assistance Program for support. A member of our CAP team reached out to the hospital, persisting even after being shuffled from department to department. Finally, after connecting with the Colorado Department of Health Care and Financing, our CAP team was able to secure Mia and her daughter a full refund. Estimated Savings: $11,000.
As a consumer-oriented organization, it is imperative that our policy work reflects the experiences, needs, and wishes of Coloradans. In addition to providing direct service through our CAP, the stories we receive directly impact our policy work. Mia’s story demonstrates that even when the policy we support is passed, there is always more work to do supporting Coloradans in accessing health care, and holding health care providers accountable.
Strategic Engagement
In addition to the stories we receive from CAP, CCHI employs a Community Advisory Board in order to ensure that our policy priorities are informed by Coloradans with lived experience facing structural barriers in accessing health care.