Federal efforts to increase hospital price transparency are falling short as hospitals fail to fully comply with requirements. However, states with transparency laws that give them access to comprehensive hospital financial data are using the pricing information to more fully analyze hospitals’ fiscal health and inform states’ cost containment efforts.
Author Archive for: maureen-hensley-quinn
About Maureen Hensley-Quinn
Maureen-Hensley Quinn, Senior Program Director, at the National Academy for State Health Policy (NASHP) leads the Emerging Policy Issues team that focuses on states’ efforts to finance, provide and improve coverage and care through public and publicly subsidized health programs. Maureen participates in and manages multiple projects that focus on health coverage for children, streamlining eligibility, enrollment and renewal policies and procedures affecting multiple health coverage programs, as well as supporting states’ efforts to implement federal and state health care reforms. In addition to research and analysis of federal and state laws and regulations, Maureen has designed and implemented technical assistance for states that includes state-to-state peer learning activities. Maureen directs NASHP’s children’s coverage work that supports the nation’s Children’s Health Insurance Program (CHIP) directors to continually improve coverage and care for low- to moderate-income children and pregnant women.
Prior to joining the staff of NASHP in 2007, Maureen was the Medical Specialist at the Community Transportation Association of America (CTAA). At CTAA, Maureen focused on the public’s access to health care through analysis of public health coverage (Medicaid in particular) and state and federal transportation policies. Prior to working at CTAA, Maureen was a Mediator/Legal Analyst within the Insurance Division of the Massachusetts State Attorney General’s Office. In this role she provided education to consumers and advocated on their behalf for improved treatment and coverage, particularly in health care (both public and private). Maureen received a Bachelor’s degree in Political Science from Merrimack College in Massachusetts and earned a Master’s degree in Public Affairs from the John W. McCormack School of Public Policy at the University of Massachusetts in Boston.
Entries by Maureen Hensley-Quinn
The adoption and use of telehealth have exploded across states, spurred by the COVID-19 pandemic, the need for social distancing, and swift federal and state action to enable how telehealth is delivered and covered by insurers. These changes will have a lasting impact on how health care is delivered, affecting payers, medical providers, and patients […]
Surprised that the national average rate that employer-sponsored health plans pay hospitals is 2.5-times higher than Medicare’s reimbursement rate? Or that there is actually no relationship between the volume of publicly covered patients a hospital serves to the prices it charges commercially-insured patients? This price transparency is important as states and employers work to rein […]
In response to COVID-19, states have made swift and unprecedented changes to enable the use of telehealth to meet the public’s need to safely access care remotely. Now, policymakers face the challenge of analyzing whether to sustain these changes as they weigh cost, privacy, and security considerations and effectiveness of remote care delivery. As officials […]
Facility fees – designed originally to compensate hospitals for “stand-by” capacity required for emergency departments and inpatient services – are increasingly added to bills for diagnostic testing and other routine services and are raising health care costs. One state employee health plan’s claims show that facility fees charged for COVID-19 testing conducted in outpatient hospital […]
State Medicaid, children’s health insurance programs (CHIP) and health insurance marketplaces strive to prepare for an expected increase in the demand for their services as they navigate a world roiled by COVID-19, an economic downturn and ensuing budget crises, and unpredictable federal relief efforts.
The importance of COVID-19 testing is clear, especially as new cases climb dramatically, reversing earlier successes at controlling the spread of the disease. Lack of a coordinated, federally-led testing initiative and protocols has prompted questions about how often testing should occur, whether both symptomatic and asymptomatic should be tested, and who should pay for it, and in what circumstance. As states […]
State employee health plans (SEHPs), which provide health coverage for millions of public employees, their dependents, and some retirees, are making rapid changes to address the COVID-19 pandemic. This retooling of insurance plans must meet emerging federal requirements and ensure that coverage meets enrollees’ needs while managing costs and anticipating budget constraints. During a recent […]
In response to the COVID-19 epidemic, health systems are increasing their use of virtual tools and telehealth at unprecedented speed and insurers are expanding coverage for the services. These tools have great potential to help consumers access services that may be difficult to do so in-person and help physicians manage patients’ care remotely. As the […]