The Medicaid expansion promoted by the Affordable Care Act was a boon for St. Mary's Medical Center, the largest hospital in western Colorado. Since 2014, the number of uninsured patients it serves has dropped by more than half, saving the nonprofit hospital in Grand Junction more than $3 million a year.

But the prices the hospital charges most insured patients have not gone down.

"St. Mary's is still way too costly," says Mike Stahl, CEO of Hilltop Community Resources, which provides insurance to about half its nearly 600 employees and their families in western Colorado.

"We are not seeing the decreases in our overall health bills that I believe the community overall should be feeling," Stahl says.

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