High and rising health costs impact all purchasers of care, including state employee health plans (SEHPs) that are funded by both state residents’ taxpayer dollars and public employees who contribute to their coverage. Increasingly SEHP administrators must balance providing comprehensive coverage and access to care for state employees while striving to contain costs to ensure […]
Author Archive for: arakotoniaina
About Adney Rakotoniaina
Adney Rakotoniaina is a research analyst with NASHP’s Emerging Policy Issues (EPI) team involved in projects related to hospital and provider costs. He joined NASHP in January 2020 as an intern with EPI working to address health insurance coverage and access issues through the state health exchanges. He previously worked at the Patient Centered Outcomes Research Institute (PCORI) communicating patient-centered engagement initiatives. He has also worked at the Commonwealth of Kentucky Personnel Cabinet on health work force staffing and employee health plan stability. Additionally, his passion for health equity and upstream policy solutions has led him to work on a number of related initiatives. Adney is pursuing his MPH concentrating in health policy and management at George Washington University and graduated from the University of Louisville in May 2019 with a BA in political science.
Entries by Adney Rakotoniaina
Governor Sisolak signed legislation last week that gives Nevada the authority to establish a public option that is intended to provide consumers with comprehensive, but lower cost health insurance. The second state to enact such a law (Washington was first in 2019), Nevada is tasked with creating state-designed coverage to be administered by private insurers that are required to reduce premiums by addressing high health care costs.
The National Academy for State Health Policy’s (NASHP) Hospital Cost Tool uses information from annual Medicare cost reports that are completed by hospitals and submitted to the federal government to provide health care purchasers and regulators with critical information to better understand hospital costs – versus their charges.
Results from a new RAND Corporation study – Nationwide Evaluation of Health Care Prices Paid By Private Health Plans – show commercial payers reimburse hospitals about 2.5-times more than does Medicare. As expected, hospital officials responded, claiming that public payers underpay for medical services and that it is inappropriate to challenge hospitals now as they battle […]
As states respond to the need for increased hospital bed capacity due to COVID-19, governors and legislatures in 22 states have waived certificate-of-need (CON) requirements – streamlining the process for hospitals to add bed capacity. These waivers have focused attention on decades-old CON laws and their utility in a changing health care landscape. The National […]
As coronavirus (COVID-19) hospitalizations and ICU bed demand surge across the country, 13 states have quickly acted to implement temporary, targeted suspensions of their certificate of need (CON) requirements for construction or expansion of new health-care facilities to remove regulatory barriers to address this critical health care need. CON laws are state regulatory mechanisms to […]
Updated September 28, 2020 Absent a pandemic, enrollees usually sign up for insurance coverage during the annual open enrollment period, from Nov. 1- Dec. 15. However, under extenuating circumstances, consumers can sign up during a special enrollment period (SEP). The Affordable Care Act defined a set of events that trigger SEPs nationally (view a national […]