The Manatt State Cost Containment Update - February 2022: Additional Resources

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Cost Containment Resources
  • Office of Health Strategy (OHS) Roadmap for Strengthening and Sustaining Primary Care, Connecticut Office of Health Strategy (OHS). Draft of as November 2021. In collaboration with the state Department of Social Services (DSS), OHS has released a primary care roadmap to strengthen and sustain primary care in Connecticut, as required under Governor Lamont’s Executive Order No. 5. The roadmap outlines four key steps to advance this goal:
    • Establish core functional expectations of primary care practice teams;
    • Apply resources and supports to help practice teams master the core function expectations;
    • Develop methods to assess and recognize practice team performance; and,
    • Make available voluntary primary care alternative payment models, beyond fee-for-service (FFS), to reimburse primary care.
  • The Toxic Impacts of High Health Care Costs on Coloradans, Colorado office of Saving People Money on Health Care (OSPMHC), October 2021. This report by the OSPMHC highlights the impacts of high health care costs on Coloradans, and discusses the need to address underlying drivers of high health care costs and reduce out-of-pocket expenses for patients; the burden Coloradans face in navigating a complex and inaccessible health care system; and the barriers patients face in accessing care.
  • Rhode Island Market Summary based on 2022 Rate Filing Submissions as of October 15, 2021, Office of the Health Insurance Commissioner (OHIC) and Gorman Actuarial. October 15, 2021. using 2022 rate filing data, OHIC examined trends in health insurance market membership, membership characteristics, market share by insurer, premium and cost-sharing trends over time, and more.
  • How ACA Marketplace Premiums Are Changing by County in 2022, Kaiser Family Foundation (KFF). December 7, 2021. A KFF analysis of rate filings, state exchange websites, and Healthcare.gov finds that for the fourth consecutive year, premiums for ACA Marketplace benchmark silver plans are decreasing, on average, nationally, with many enrollees qualifying for additional, temporary American Rescue Plan Act (ARPA) subsidies that further improve health insurance affordability for 2022.
  • How Price Regulation Is Needed to Advance Market Competition, Health Affairs, January 2022. In a new Health Affairs policy insight, Robert A. Berenson and Robert B. Murray re-examine traditional assumptions around price regulation and competition in the US health care market, and urge policymakers to consider regulations that limit out-of-network provider prices and establish flexible hospital budgets to address high and rising provider prices in the US.

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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