Tag: provider contracts

A Progress Report on Washington’s Public Option Plans

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Washington State’s “public option” program is now in its third year. After initial cost and access challenges hindered the program’s reach, growing insurer participation and recent enrollment data suggest meaningful progress is being made. CHIR’s Christine Monahan and Madeline O’Brien provide an update on how Washington’s public option plans performed in the recently concluded open enrollment period, outlining key issues to watch as Washington moves forward with its first-in-the-nation program.

A Fixer Upper: Washington State Enacts Legislation to Boost its Public Option

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Washington State enacted a first-of-its-kind public option, with the state-procured plans available beginning in 2020. But the inaugural year yielded underwhelming results, with fewer than 2,000 people enrolled in the plans and premiums that were on average higher than the prior year’s rates. After identifying several barriers to the program’s success, Washington enacted legislation this year to bolster the state’s public option.

The COVID-19 Pandemic – Insurer Insights Into Challenges, Implications, and Lessons Learned

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The novel coronavirus (COVID-19) pandemic has placed enormous pressure on virtually all facets of U.S. society. Much attention has appropriately been placed on the efforts of health care providers to deliver care to those infected with COVID-19. However, less is known about the experiences of the health insurers who reimburse those health care providers for the care they deliver. In a new report supported by the Robert Wood Johnson Foundation, insurance experts at CHIR and the Urban Institute share findings from interviews with executives at 25 health insurance companies on their impressions of the ongoing ramifications of the pandemic and their response to the crisis.

Payer-Provider Contract Disputes Dominate Headlines in 2019, With No Signs of Slowing Down

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For several years, we at CHIR have tracked health insurance industry trends by monitoring trade and mass media, Wall Street analyses, earnings, and other reports. In 2019, we observed an increase in reporting on contract disputes between health insurers and providers. These discussions are becoming more contentious as insurers face mounting pressure to rein in health care costs while ensuring consumers’ access to providers. CHIR’s Emily Curran digs into what’s behind the trend and what it means for patients.

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.