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Evidence On Private Equity Suggests That Containing Costs And Improving Outcomes May Go Hand-In-Hand

…practices that were not acquired. Additionally, as practice volume increased, PE-acquired practices shifted toward longer visit charge codes without any increase in patient risk measures. In one study, anesthesiology practices with PE-backed management companies increased prices substantially compared to practices without them. Another found that neonatology practices managed by PE companies were associated with substantial increases in common neonatal intensive care unit days (70 percent higher)…

State Efforts To Improve Price Transparency

…found that compliance had improved “substantially” in the second year of the rule being in effect. Compared to hospitals, health insurers have been quicker to comply with the price transparency requirements, but the quality of the data being released by both hospitals and health insurers leaves much to be desired. Researchers have found the price data released by hospitals to be “consistently inconsistent,” with significant variance…

Final 2025 Payment Notice: Marketplace Standards And Insurance Reforms

…understanding of the eligibility and enrollment process, particularly for those with limited health insurance or computer literacy. Some commenters also asked HHS to also require call centers to provide dedicated lines for people with disabilities and/or limited English proficiency. The agency declined to do so, noting that they already review SBM call centers to ensure that they provide a TTY…

Biden Administration Finalizes Limits On Junk Health Plans

…ratios of fixed indemnity policies averaged 40 percent, compared to 86 percent for ACA-compliant individual market plans. The tri-agencies also raise health equity concerns, noting that underserved populations and those with limited health literacy may be particularly vulnerable to aggressive and deceptive marketing tactics that don’t adequately explain the differences between comprehensive, ACA-compliant coverage and STLDI or fixed indemnity coverage. These populations…

March Research Roundup: What We’re Reading

…After a rocky start as well as some intermittent declines in enrollment and insurer participation, record signups and robust competition in recent years show how far the ACA’s Marketplaces have come. Policies that bolster the Marketplaces, including the temporary expansion of APTCs, have further expanded access to affordable, comprehensive coverage. Given revived discussions about repealing the ACA, policymakers should consider…

CHIR Experts Testify About Facility Fees Before Maryland General Assembly

…and a range of policy experts view facility fee billing as a way hospitals leverage their market power and take advantage of the United States’ complex and opaque payment and billing systems to increase revenue. State Efforts to Regulate Outpatient Facility Fees States are at the forefront of tackling outpatient facility fee billing in the commercial market. Our analysis of…

Stakeholders Weigh in on a Proposal that Could Expand Adult Dental Coverage

…summary of comments submitted by including consumer advocates, dental providers, SBMs and state insurance departments, health insurance plans, and dental insurance plans. This is not intended to be a comprehensive review of all comments on every provision in the proposed 2025 NBPP, nor does it capture every component of the reviewed comments. To view more stakeholder comments, please visit https://www.regulations.gov/….

States Expand Access to Affordable Private Coverage for Immigrant Populations

By Justin Giovannelli and Rachel Schwab The U.S. uninsured rate reached an historic low in early 2023, yet millions of people still lack comprehensive health coverage. Immigrants are disproportionately likely to be uninsured, which reduces their access to health care and increases their risk of incurring medical debt. This higher rate of uninsurance stems from systemic inequalities, including legal barriers…

State Options for Making Hospital Financial Assistance Programs More Accessible

…or dental bills. To mitigate this problem, nineteen states and the District of Columbia require hospitals to provide financial assistance to low-income populations, but  the process of applying for financial assistance is often cumbersome and inaccessible. In a recent post for the Commonwealth Fund’s To the Point blog, CHIR’s Maanasa Kona discusses how some states have made the financial assistance…

The opinions expressed here are solely those of the individual blog post authors and do not represent the views of Georgetown University, the Center on Health Insurance Reforms, any organization that the author is affiliated with, or the opinions of any other author who publishes on this blog.