Wisconsin collects healthcare claims data and other information from providers in order to disseminate consumer guides and legislative reports. The Wisconsin Health Information Organization also operates an APCD, one of the largest in the country, along with a consumer website for comparing cost and quality information. Wisconsin received a $2.4 million dollar grant from CMS in 2014 in order to develop a state innovation plan to reduce Medicare and Medicaid costs.
In the 2018 legislative session, Wisconsin passed a bill that would set up a state-based reinsurance program, the Wisconsin Health Care Stability Plan (WIHSP), to expand access to care and lower costs for consumers. The reinsurance program will pay insurers up to 80 percent of that part of claims totaling more than $50,000 but less than $250,000 using public money. The program’s stated aims are to reduce premium increases, keep more individuals insured, and entice insurers to offer insurance plans in the state. Wisconsin’s 1332 State Innovation Waiver to implement WIHSP was approved by HHS on July 29, 2018 for 2019 through 2023. Wisconsin joins Alaska, Hawaii, Maine, Minnesota, and Oregon as states that have received a 1332 waiver from the federal government.
The State Database
The Source tracks state activities impacting healthcare price and competition in both legislation and litigation in a searchable database to help stakeholders at the state level understand their legal and regulatory environment as they make efforts to improve access, quality, and efficiency, and reduce costs in healthcare.
LEGISLATION: The Database of State Laws Impacting Healthcare Cost and Quality (SLIHCQ), created by The Source on Healthcare Price & Competition and Catalyst for Payment Reform, catalogues state legislation governing price transparency, provider market power, provider payment, provider networks, and benefit design. The database also includes pharmaceutical legislation beginning in the 2017-2018 legislative session. *Note: Current legislative session bill updates are ongoing. Check back weekly for updates.
LITIGATION: The Source tracks major litigation and antitrust enforcement action by federal entities (FTC or DOJ), state attorney generals, and private parties in the main provider and insurer markets, particularly legal challenges of healthcare consolidation and anticompetitive contract provisions. Additionally, the database contains major pharmaceutical cases including legislation challenges and significant appellate cases.
Search the database across all jurisdictions on the State Overview page, or view and filter existing legislation or litigation on individual state pages. The database allows customized search and filter by keyword, status, and/or key issue category. *Multiple filter/selections enabled. Click here for User Guide.