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.
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 […]
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 […]
Last week, over 1,000 state health policy leaders and others from every state joined the National Academy for State Health Policy’s (NASHP) first-ever virtual state health policy conference to discuss a path forward during an unrelenting pandemic and profound budget challenges. As one state official noted, “This was a chance to lift my eyes from […]
Model Act Summary: This model legislation prohibits site-specific facility fees for services rendered at physician practices and clinics located more than 250 yards from a hospital campus. It also prohibits all service-specific facility fees for typical outpatient services that are billed using evaluation and management codes, even if those services are provided on a hospital […]
What is hospital financial transparency? Hospital financial transparency describes when hospitals/health systems disclose data so the public and state regulators can understand its assets – including income from a variety of sources, such as payment for services rendered, grants, capital, and other investments – as well as its expenses and liabilities. To date, most state […]
Summary Hospitals provide critically important services and play a central role in assuring the integrity of the health care system in the state. Standardized, objectively assessed information regarding finances enables the state and the public to evaluate the viability of the health system, identify strengths and weaknesses, to allow for appropriate executive and legislative actions […]