State Employee Health Plans
State employee health plan premiums and out of pocket costs are rising, affecting the state’s budget, as well as its employees’ overall health costs. Administering these health plans with diverse enrollees can be challenging, but also provides an opportunity to leverage the states buying power to find efficiencies and reduce overall costs. NASHP is working closely with State Employee Health Plans to explore and develop strategies aimed at improving the management of their plans to reduce costs.
Model Legislation to Allow Buy-in into State Purchasing Pools for Prescription Drugs, January 2020.
FEATURED ARTICLES
State Legislative Action to Lower Health System Costs
/in Health System Costs Maps Consumer Affordability, Health System Costs, Hospital/Health System Oversight, Making the Case for Action, State Employee Health Plans, Total Cost of Care Benchmark Health System Costs /by NASHP StaffHospital Cost Tool and Resources
/in Health System Costs, Policy Featured News Home Consumer Affordability, Health System Costs, Hospital/Health System Oversight, Making the Case for Action, State Employee Health Plans Hospital/Health System Oversight, State Employee Health Plans /by NASHP StaffAddressing Health Care Costs: Tools for State Employee Health Plans
/in Health System Costs Featured News Home, Reports, Toolkits State Employee Health Plans State Employee Health Plans /by Adney RakotoniainaA Tool for States to Address Health Care Consolidation: Prohibiting Anticompetitive Health Plan Contracts
/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.
Independent Analysis Finds Montana Has Saved Millions by Moving Hospital Rate Negotiations to Reference-Based Pricing
/in Policy Montana Blogs, Featured News Home Consumer Affordability, Cost, Payment, and Delivery Reform, Health System Costs, Hospital/Health System Oversight, Making the Case for Action, State Employee Health Plans, Value-Based Purchasing /by Johanna ButlerA 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 […]
Independent Analysis: Estimating the Impact of Reference-Based Hospital Pricing on the Montana State Employee Plan
/in Policy Montana Consumer Affordability, Cost, Payment, and Delivery Reform, Health System Costs, Hospital/Health System Oversight, Making the Case for Action, State Employee Health Plans, Value-Based Purchasing /by NASHP StaffHow to Complete NASHP’s Hospital Cost Calculator
/in Hospital/Health System Oversight Consumer Affordability, Health System Costs, Hospital/Health System Oversight, Making the Case for Action, State Employee Health Plans /by NASHP StaffNASHP’s New Hospital Cost Calculator Informs State Cost-Containment Strategies
/in Hospital/Health System Oversight Blogs, Featured News Home Consumer Affordability, Health System Costs, Hospital/Health System Oversight, Making the Case for Action, State Employee Health Plans Hospital/Health System Oversight, State Employee Health Plans /by Marilyn Bartlett, Maureen Hensley-Quinn and Trish RileySurprised that the national average rate that employer-sponsored health plans pay hospitals is 2.5-times higher than Medicare’s reimbursement rate? Or that there is actually no relationship between the volume of publicly covered patients a hospital serves to the prices it charges commercially-insured patients? This price transparency is important as states and employers work to rein […]
Combat Rising Health Care Costs by Limiting Facility Fees with New NASHP Model Law
/in Model Legislation and Resources Blogs, Featured News Home Consumer Affordability, Health System Costs, Hospital/Health System Oversight, Making the Case for Action, State Employee Health Plans /by Maureen Hensley-QuinnFacility 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 […]
NASHP Model State Legislation to Prohibit Unwarranted Facility Fees
/in Model Legislation and Resources Consumer Affordability, Health System Costs, Hospital/Health System Oversight, Making the Case for Action, State Employee Health Plans /by NASHP StaffModel 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 […]
Hospital Cost Tool and Resources
/in Health System Costs, Policy Featured News Home Consumer Affordability, Health System Costs, Hospital/Health System Oversight, Making the Case for Action, State Employee Health Plans Hospital/Health System Oversight, State Employee Health Plans /by NASHP StaffAddressing Health Care Costs: Tools for State Employee Health Plans
/in Health System Costs Featured News Home, Reports, Toolkits State Employee Health Plans State Employee Health Plans /by Adney Rakotoniaina