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科罗拉多州:全美首个州完成保险公司定价数据收集 医疗价格透明度推进

2026-10-22 · 各州 · GSM News
科罗拉多州:全美首个州完成保险公司定价数据收集 医疗价格透明度推进

科罗拉多州州长 Jared Polis 与州保险司(Division of Insurance)近日宣布,该州已完成首轮向健康保险公司收集定价数据的工作,成为全美第一个成功收集本州专属联邦价格透明数据的州。这项收集工作源于2024年通过的州参议院第24-080号法案(SB24-080)。

联邦价格透明规则自2022年起要求保险公司公布协商价格,但数据难以解析。科罗拉多州的新要求有三点不同:只收本州信息;按医疗机构实际使用的编码过滤,剔除几乎不会发生的「幽灵编码」;并要求提供各计划最常用处方药的价格信息。

州保险司表示,首轮数据整理后将于明年初在该司的价格透明网页公布,供消费者与研究人员使用;有意使用数据开展研究者可与该司联系。保险专员 Michael Conway 表示,这一步将大幅提高数据质量,帮助各方理解医疗价格趋势。

Colorado: First State to Collect Health Insurance Pricing Data From Carriers

Colorado Governor Jared Polis and the state Division of Insurance have announced that Colorado has completed its first collection of pricing information from health insurance carriers, becoming the first state in the country to successfully collect state-specific federal Transparency in Coverage data. The collection follows passage of Senate Bill 24-080 in 2024.

Federal transparency rules in effect since 2022 require carriers to publish negotiated rates, but the files are difficult to parse. Colorado's requirements differ in three ways: the data must be Colorado-specific; carriers must limit files to codes providers actually use, removing so-called ghost codes; and carriers must provide pricing for the most frequently used prescription drugs on their plans.

The Division of Insurance said it will compile the first round of data and post it on its Transparency in Coverage webpage by early next year for consumers and researchers. Insurance Commissioner Michael Conway said the law will dramatically improve data quality and help the division, academics and researchers better understand health care pricing trends.

发布:GSM·美国(发布链接)

图片来源:图:科罗拉多州议会大厦(Denver)。摄影:xiquinhosilva,CC BY 2.0(Wikimedia Commons)。Photo: the Colorado State Capitol in Denver. Photo by xiquinhosilva, CC BY 2.0 (Wikimedia Commons).

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