Will Sutter Health Settlement Dampen Provider Systems’ Anti-Competitive Tactics or Prompt More States to Take Action on Costs?

On October 16, Sutter Health announced that it had reached a tentative agreement to settle the class-action lawsuit against it, which alleged that the system has used its market dominance to drive up the cost of care. Though Sutter Health denied all allegations, the plaintiffs argued that the system relies on three core tactics to maintain a competitive edge, including: all-or-nothing contracting, anti-incentive contract terms, and price secrecy contract terms. CHIR’s Emily Curran and Sabrina Corlette explain these tactics and recent findings on the impacts of provider consolidation. Continue reading

July Research Round Up: What We’re Reading

Health policy researchers are keeping busy, assessing the impact of recent and potential state and federal actions. CHIR’s Olivia Hoppe digs into new research on how interruptions in insurance coverage impact chronic disease management, the debate over the Affordable Care Act’s (ACA) employer mandate, the innovative ways that California is keeping its risk pool healthy, characteristics of the uninsured in the U.S., and the coverage and premium effects of state-based individual mandates. Continue reading

Handling Premiums with Care in Medicaid, CHIP and the Marketplace

Connecting people with health coverage is a complicated process, and the last few weeks have demonstrated how challenging it can be. But helping people maintain that coverage may be even more challenging. In this blog, Tricia Brooks of Georgetown University’s Center for Children and Families discusses how policies relating to premium collection can have a critical impact on families’ ability to stay covered. Continue reading