Total Cost of Care Benchmark
Setting a cost growth benchmark that aims to bring the total cost of health care expenditures closer in line with a state’s overall economic growth is a policy initiative pioneered by Massachusetts that a growing number of states are exploring. NASHP’s work will track emerging state efforts to develop and use benchmarks, share lessons learned from early adopter states, as well as develop new models that aim to further rein in costs impacting consumers.
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 […]
Massachusetts Gov. Charlie Baker will kick off the National Academy for State Health Policy’s 33rd annual conference with a keynote address at 4:30 p.m. (ET) Monday, Aug. 14, 2020. The conference, originally scheduled for Boston, will be delivered on-line. Massachusetts has long been a national health reform leader and Gov. Baker has played a key […]
Last week, Gov. Ned Lamont signed two executive orders that establish health care cost growth and quality benchmarks and require more transparency of Medicaid costs and quality. The benchmarks are similar to ones Massachusetts implemented, which has helped Bay State consumers avoid more than $5 billion in costs since 2013. “Gov. Lamont’s initiative directly addresses the high costs of health care […]
States are incrementalists – enacting laws, amending them, and building on their successes – and that strategy is clearly visible in Massachusetts Gov. Charlie Baker’s bold and comprehensive legislative proposal, An Act to Improve Health Care by Investing in VALUE, announced last week. Baker’s proposal calls on payers and providers to increase expenditures on primary […]
By Robin Lunge, JD, MHCDS Robin Lunge is a member of Vermont’s Green Mountain Care Board, which regulates health insurance rates, hospital budgets, and accountable care organizations. In this brief, she explores how the state’s transformation from a fee-for-service payment system to a value-based, multi-payer model designed to curb health care spending and improve care […]