Healthcare

Healthcare faces an unprecedented set of challenges. The Colorado Health Care Policy and Finance (HCPF) manual outlines the action plans, goals and projects for success. I will align my efforts to achieve the mission of improving healthcare equity, access, and outcomes for the people I serve while saving Coloradans’ cost on healthcare.
 The fastest growing cost driver in healthcare is pharmaceuticals, and prescriptions for Medicaid members. The focus of attention should be on decreasing Medicaid pharmacy expense by helping to implement effective policy like the prescription drug affordability board. Disempowers providers to select the most cost-effective drugs for their patients and models a value-based cost.
  I intend to advance on all goals but give particular focus on one important goal in the HCPF which is to identify the next set of health disparities and the strategies to address them for 2022 through 2024. I will also collaborate with our state agencies and other state legislators to stand up the Colorado Behavioral Health Agency and ensure the behavioral health task force blueprint priorities are implemented by 2024.

2 thoughts on “Healthcare”

  1. Mr Colombo,
    There is some ambiguity in the incomplete sentence: “Disempowers providers to select the most cost-effective for their patients….” Could you please clarify if your stance is to empower providers to prescribe the medications they deem as the best treatment for their patients, or do you believe providers should be disempowered to make these medical decisions, thereby putting cost considerations before appropriateness? Also, thank you for using the term “provider,” which includes PAs and NPs, along with Physicians as the medical decision makers in our Colorado communities.

    1. Hi Jessie,
      Your welcome. I was NREMT-Paramedic for 14 yrs(required for Pararescue) and I have a great deal of respect for our healthcare providers who are on the front-lines daily in the fight. I was also the Safety Officer for Grand Teton National Park during the 2009 H1N1 Pandemic.
      In the context of “The leading cost driver in healthcare is pharmaceuticals” What is meant by ‘disempowering providers’- that is healthcare providers should prescribe the most cost-effective medicine, so its to limit their choice to the less expensive first. We need doctors to start out with giving their patients a drug that is just effective,however,it doesn’t cost as much as the brand-name. A generic drug is a medication created to be the same as an existing approved brand-name drug in dosage form, safety, strength, route of administration, quality, and performance characteristics. A generic is an approved medicine that works in the same way and provides the same clinical benefit as its brand-name version and generally costs less.
      Healthcare is a huge issue and we can piece it together as we go (i.e adding pre-existing conditions, expand eligibility), or take a scalpel to it (i.e. reduce costs where we can e.g. pharmaceuticals) , but the real challenge is to balance cost, access, and quality with current and future needs. We will most likely see an increase in the capacity of local healthcare systems response to pandemics, as well as mitigation efforts, which will put additional stress on an already overtaxed system.

      Thank You and I hope I was able to help.

      Michael

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