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Children’s Hospital Colorado stresses TRICARE reimbursement woes, expanded pediatric screening
Summary
Children’s Hospital Colorado told council that a Defense Health Agency change to TRICARE payment methodology using Medicare‑based adult metrics cut pediatric hospital revenue (about $22M last year) and described expanded ED suicide screening and regional partnerships that may be reducing youth suicide rates in El Paso County.
Greg Raymond, joined by Chief Medical Officer Dr. DeStefano, briefed the council on Children’s Hospital Colorado’s role in Southern Colorado, clinical volumes, and financial pressures tied to TRICARE reimbursement changes.
Raymond said the Defense Health Agency implemented a Medicare‑based reimbursement method for TRICARE that applies adult payment logic to pediatric services. "That doesn't translate," he said, and reported an estimated $22 million revenue reduction locally in the…
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