Author Archive for: arakotoniaina
About Adney Rakotoniaina
Adney Rakotoniaina is a policy associate with NASHP’s Coverage, Cost, and Value team primarily working to address hospital and health system costs. Passionate about health equity and upstream policy solutions, Adney also leads NASHP’s Emerging Leaders of Color Fellowship program and is engaged in projects concerning the social determinants of health. He joined NASHP in January 2020 as an intern working to address health insurance access issues through the state-based exchanges network. Previously, he worked at the Patient Centered Outcomes Research Institute (PCORI) and the Commonwealth of Kentucky Personnel Cabinet. Adney obtained his BA in political science at the University of Louisville and his MPH concentrating in health policy and management at The George Washington University.
Entries by Adney Rakotoniaina
How States Use Cost-Growth Benchmark Programs to Contain Health Care Costs
April 26, 2022 in Health System Costs Connecticut, Delaware, Massachusetts, Rhode Island, Washington Charts, Featured News Home Consumer Affordability, Health System Costs, Hospital/Health System Oversight, Making the Case for Action, Total Cost of Care Benchmark /by Deborah Fournier and Adney RakotoniainaHow Oregon is Limiting Hospital Payments and Cost Growth For State Employee Health Plans
August 30, 2021 in Health System Costs Oregon Blogs, Featured News Home /by Adney RakotoniainaHigh and rising health costs impact all purchasers of care, including state employee health plans (SEHPs) that are funded by both state residents’ taxpayer dollars and public employees who contribute to their coverage. Increasingly SEHP administrators must balance providing comprehensive coverage and access to care for state employees while striving to contain costs to ensure […]
Nevada Enacts a Public Option
June 14, 2021 in Health Coverage and Access Nevada Blogs, Featured News Home Health Coverage and Access /by Adney RakotoniainaGovernor Sisolak signed legislation last week that gives Nevada the authority to establish a public option that is intended to provide consumers with comprehensive, but lower cost health insurance. The second state to enact such a law (Washington was first in 2019), Nevada is tasked with creating state-designed coverage to be administered by private insurers that are required to reduce premiums by addressing high health care costs.
How States Can Advance Health Equity while Addressing Health System Costs
September 28, 2020 in Health System Costs, Policy Blogs, Featured News Home Accountable Health, Chronic Disease Prevention and Management, Community Benefit, COVID-19, Health Equity, Health System Costs, Hospital/Health System Oversight, Making the Case for Action, Population Health, Quality and Measurement, Social Determinants of Health, Total Cost of Care Benchmark /by Adney RakotoniainaWhy Compare What Employers Pay to What Medicare Pays?
September 21, 2020 in Health System Costs Blogs, Featured News Home Consumer Affordability, Health System Costs, Hospital/Health System Oversight, Making the Case for Action, Total Cost of Care Benchmark Hospital/Health System Oversight, State Employee Health Plans /by Adney Rakotoniaina, Marilyn Bartlett and Trish RileyResults 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 […]
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For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































