Author Archive
Entries by Erin Fuse Brown, JD, MPH
A Tool for States to Address Health Care Consolidation: Improved Oversight of Health Care Provider Mergers
November 12, 2021 in Health System Costs Blogs, Featured News Home Health System Costs /by Katherine L. Gudiksen, PhD, MS and Erin Fuse Brown, JD, MPHA comprehensive and growing body of evidence demonstrates that health care consolidation leads to higher health care costs with little to no increase in quality. Federal antitrust enforcers have historically focused on horizontal mergers, or mergers involving two hospitals in the same geographic area, but health care consolidation increasingly occurs through transactions that evade antitrust […]
A Tool for States to Address Health Care Consolidation: Prohibiting Anticompetitive Health Plan Contracts
April 12, 2021 in Policy Featured News Home, Reports Consumer Affordability, Health System Costs, Hospital/Health System Oversight, Making the Case for Action, State Employee Health Plans /by Katherine L. Gudiksen, PhD, MS, Erin Fuse Brown, JD, MPH and Johanna ButlerRampant 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.
NASHP’s Proposal for a State Purchasing Pool for Prescription Drugs
October 28, 2019 in Policy Featured News Home, Reports Administrative Actions, Cost, Payment, and Delivery Reform, Health System Costs, Legal Resources, Prescription Drug Pricing, State Employee Health Plans, State Rx Legislative Action /by Erin Fuse Brown, JD, MPH and Mark D. Hunter, PhD, MPHState Strategies to Address Rising Prices Caused by Health Care Consolidations
September 5, 2017 in Policy Annual Conference, Reports Community Benefit, Cost, Payment, and Delivery Reform, Health System Costs, Population Health, Quality and Measurement /by Erin Fuse Brown, JD, MPHForeward by Trish Riley, NASHP Executive Director The debate over the future of the Affordable Care Act (ACA) and the stability of the individual health insurance markets masks a bigger issue–the underlying cost of health care. From NASHP’s Center for State Rx Drug Pricing to our work on value-based purchasing and alternative payment methods, we support states […]
Empowering and Protecting Consumers: ERISA Thwarts State Innovation
February 28, 2017 in Policy Reports Health Coverage and Access, Health System Costs, Hospital/Health System Oversight, Prescription Drug Pricing, State Insurance Marketplaces, State Rx Legislative Action /by Trish Riley and Erin Fuse Brown, JD, MPHAs the national debate over the ACA continues, this publication looks at why Congress needs to amend the Employee Retirement Income Security Act (ERISA) to assure consumers and payers have the information they need to make health purchasing decisions. The considerable discussion of increasing consumer engagement, in part by expanding the use of health savings accounts […]
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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. 























































































































































