Health System Costs
FEATURED ARTICLE
State Legislative Action to Lower Health System Costs
/in Health System Costs Maps Consumer Affordability, Health System Costs, Hospital/Health System Oversight, Making the Case for Action, State Employee Health Plans, Total Cost of Care Benchmark Health System Costs /by NASHP StaffCongressional Proposals Could Improve Coverage Affordability and Access for Millions
/in Policy Blogs, Featured News Home Consumer Affordability, Eligibility and Enrollment, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by Christina CousartLast week, Congress released a series of legislative proposals designed to respond to COVID-19’s ongoing public health and economic crises. The proposed legislation, expected to be voted on in early March, is a direct response to the Biden Administration’s American Rescue Plan and includes several provisions that could significantly impact eligibility and coverage sold through […]
2021 State Legislative Action to Lower Pharmaceutical Costs
/in Prescription Drug Pricing Maps Cost, Payment, and Delivery Reform, Health System Costs, Legislative Tracker, Prescription Drug Pricing, State Rx Legislative Action Prescription Drug Pricing /by NASHP StaffCOVID-19 Federal Funding Earmarked for Hospitals, Providers, and States
/in COVID-19 Charts, Featured News Home Health System Costs, Hospital/Health System Oversight, Making the Case for Action /by NASHP StaffInsurance Rate Review as a Hospital Cost Containment Tool: Rhode Island’s Experience
/in Policy Rhode Island Blogs, Featured News Home Consumer Affordability, Health System Costs, Hospital/Health System Oversight, Making the Case for Action /by Johanna ButlerFor more than a decade, Rhode Island has used a unique insurance rate review approach to keep hospital costs from rising any more than inflation plus 1 percent. As states confront COVID-19 and its accompanying budget crisis, Rhode Island’s approach that allows regulators to oversee hospital costs and requires insurers to invest in the state’s […]
Q&A: What States Can Learn from NASHP’s Hospital Cost Tool
/in Policy Blogs, Featured News Home Consumer Affordability, Health System Costs, Hospital/Health System Oversight, Making the Case for Action /by NASHP StaffWhat does the tool do? The tool uses publicly available Medicare cost reports (MCRs), which hospitals submit annually to the federal government, to calculate the costs incurred for providing hospital services, as well as its payer mix and more. It answers key questions, including:
New Federal “No Surprises Act” Extends Medical Billing Protections Beyond State Reach
/in Policy Blogs, Featured News Home Consumer Affordability, Cost, Payment, and Delivery Reform, Health System Costs, Hospital/Health System Oversight, Quality and Measurement /by Christina CousartThe “No Surprises Act,” the most comprehensive federal legislation enacted to date designed to prohibit surprise medical bills, is part of the recently enacted Consolidated Appropriations Act of 2021.
Texas Improves Access to Routine Oral Health Services for Very Young Children
/in Policy Texas Child Oral Health, Chronic Disease Prevention and Management, Consumer Affordability, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Oral Health, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Quality and Measurement, Social Determinants of Health /by Veronnica ThompsonThough largely preventable, tooth decay (caries) is the most common chronic disease in US children, affecting approximately 23 percent of children ages 2 to 5.[1],[2] Texas’s First Dental Home and its enhanced bundled payment has increased access to preventive dental service and improved the oral health of Medicaid-enrolled children ages 6 to 35 months. Providing […]
Michigan Medicaid Addresses Social Determinants of Oral Health through Dental and Medical Contracts
/in Policy Michigan Blogs, Featured News Home Child Oral Health, CHIP, Consumer Affordability, Cost, Payment, and Delivery Reform, EPSDT, Health Coverage and Access, Health Equity, Health System Costs, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Oral Health, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Social Determinants of Health, Workforce Capacity /by Ariella LevisohnInequities in dental care are prevalent across the United States, with significant disparities based on age, race, ethnicity, and socioeconomic status. Economic factors, such as ability to pay for dental insurance, and social factors such as food insecurity and access to nutritious food options also play a large role in oral health outcomes. In Michigan, […]
State Use of Patient-Centered Outcomes Research in Telehealth Policymaking
/in Policy Featured News Home, Reports Chronic Disease Prevention and Management, Consumer Affordability, Cost, Payment, and Delivery Reform, COVID-19, Health Equity, Health System Costs, Population Health, Quality and Measurement, Quality and Measurement, Social Determinants of Health, Value-Based Purchasing /by Amanda Attiya, Christina Cousart and Maureen Hensley-QuinnThe 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 […]
State Legislative Action to Lower Health System Costs
/in Health System Costs Maps Consumer Affordability, Health System Costs, Hospital/Health System Oversight, Making the Case for Action, State Employee Health Plans, Total Cost of Care Benchmark Health System Costs /by NASHP Staff