Making the Case for Action
Health care costs continue to grow at rates that outpace overall economic growth, squeezing out other state spending priorities and impacting consumers’ out of pocket spending for both coverage and care. State policy makers are called upon to address rising health care costs as payers, insurance regulators, and stewards of consumer protection, while considering the health system not only provides needed care but is also many jobs. NASHP’s work will identify the cost drivers in the health system and share strategies that focus on price and cost in order to provide effective cost-containment policy options to states.
- Trish Riley, NASHP Executive Director, in Health Affairs: Can The Health Care Cost Trajectory Be Tamed? States’ Leaders Tackle The Cost Conundrum, 1, 2018.
- Presentation: Health Care Consolidation and Market Trends presented by Erin Fuse Brown, JD, assistant professor at Georgia State University’s School of Law, and faculty member of its Center for Law, Health, and Society, at NASHP’s annual health policy conference in August 2018.
- Presentation: Health Care Costs presented by Larry Levitt, Executive Vice President for Health Policy, Kaiser Family Foundation, at NASHP’s annual health policy conference in August 2018.
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.
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.
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 […]
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 […]
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.
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 […]