Hospital revenue and expenses, even when disclosed in tax documents and other federal reporting, is complicated to track and understand. The lack of clear, actionable data inhibits the design of effective state cost containment strategies. NASHP is working with state officials to ensure they have access to hospital financial information to identify both existing oversight levers, such as certificate of need, community benefit, etc. and opportunities for cost saving initiatives.
Rampant consolidation in nearly every state has created dominant health care systems that can use anticompetitive contracting practices to charge supracompetitive prices, especially to commercial insurance plans.
https://www.nashp.org/wp-content/uploads/2018/05/hospital-complex-shutterstock-5_3_2018.jpg31544200Melanie Felicianohttps://www.nashp.org/wp-content/uploads/2019/06/NASHP-Logo.pngMelanie Feliciano2021-04-12 15:49:522021-04-13 16:23:14A Tool for States to Address Health Care Consolidation: Prohibiting Anticompetitive Health Plan Contracts
Model Act Summary: This model legislation targets health insurance contract terms that have been used by health systems to impede competition and increase prices. In particular, this model act prohibits the use of most-favored-nation clauses, anti-steering clauses, anti-tiering clauses, all-or-nothing clauses, and gag clauses in contracts between health insurers and health care providers. The prohibition […]
https://www.nashp.org/wp-content/uploads/2019/06/NASHP-Logo.png00NASHP Staffhttps://www.nashp.org/wp-content/uploads/2019/06/NASHP-Logo.pngNASHP Staff2021-04-12 15:45:442021-04-12 18:44:23NASHP Model Act to Address Anticompetitive Terms in Health Insurance Contracts
https://www.nashp.org/wp-content/uploads/2018/05/hospital-complex-shutterstock-5_3_2018.jpg31544200NASHP Staffhttps://www.nashp.org/wp-content/uploads/2019/06/NASHP-Logo.pngNASHP Staff2021-04-09 11:00:562021-04-12 20:01:07State Legislative Action to Lower Health System Costs
A new, independent analysis of the Montana state employee health plan’s transition to reference-based pricing – which limits hospital prices to a multiple of what Medicare pays – found significant savings for the state in the two years after its implementation. Further, there is no evidence that utilization artificially increased as a result of the new payment […]
https://www.nashp.org/wp-content/uploads/2018/05/hospital-complex-shutterstock-5_3_2018.jpg31544200Melanie Felicianohttps://www.nashp.org/wp-content/uploads/2019/06/NASHP-Logo.pngMelanie Feliciano2021-04-05 16:54:482021-04-06 14:40:31Independent Analysis Finds Montana Has Saved Millions by Moving Hospital Rate Negotiations to Reference-Based Pricing
https://www.nashp.org/wp-content/uploads/2019/06/NASHP-Logo.png00NASHP Staffhttps://www.nashp.org/wp-content/uploads/2019/06/NASHP-Logo.pngNASHP Staff2021-04-05 16:53:072021-04-06 14:26:45Independent Analysis: Estimating the Impact of Reference-Based Hospital Pricing on the Montana State Employee Plan
https://www.nashp.org/wp-content/uploads/2018/05/hospital-complex-shutterstock-5_3_2018.jpg31544200NASHP Staffhttps://www.nashp.org/wp-content/uploads/2019/06/NASHP-Logo.pngNASHP Staff2021-04-01 18:12:142021-04-06 14:28:03COVID-19 Federal Funding Earmarked for Hospitals, Providers, and States
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.
https://www.nashp.org/wp-content/uploads/2018/05/hospital-complex-shutterstock-5_3_2018.jpg31544200Amanda Attiyahttps://www.nashp.org/wp-content/uploads/2019/06/NASHP-Logo.pngAmanda Attiya2021-03-29 14:45:252021-03-30 14:11:58Hospital Transparency: State Efforts Reveal More Comprehensive Financial Data than Current Federal Requirements
The National Academy for State Health Policy (NASHP) and Community Benefit Insight are hosting a TwitterChat at 3 p.m. (ET) Wednesday, April 7, 2021, as a part of National Public Health Week. It will discuss community engagement, how hospital community benefit improvement activities can address health disparities, and how this has changed as a result […]
https://www.nashp.org/wp-content/uploads/2021/03/pie-graph.jpg709781Allie Atkesonhttps://www.nashp.org/wp-content/uploads/2019/06/NASHP-Logo.pngAllie Atkeson2021-03-15 21:51:512021-04-01 15:14:15How States Can Leverage Hospital Community Benefit Policy to Advance Health Equity
https://www.nashp.org/wp-content/uploads/2018/05/hospital-complex-shutterstock-5_3_2018.jpg31544200Allie Atkesonhttps://www.nashp.org/wp-content/uploads/2019/06/NASHP-Logo.pngAllie Atkeson2021-03-15 21:14:502021-03-17 19:44:54How States Can Hold Hospitals Accountable for their Community Benefit Expenditures
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