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THE SOURCE BLOG

The Source Roundup: March 2021 Edition

Alex Montague, Health Policy Researcher    March 1, 2021
Happy March! This month’s roundup focuses on health policy pieces and reports that examine 1) the future of value-based care, 2) the efficacy of various policy options to address healthcare prices, including increasing price transparency and market competition, 3) comparisons of brand-name drug prices, and 4) the impact of the Affordable Care Act on uninsured young adults.   Valued-Based Reform In a white paper published this past month, The Future of Value-Based Payment: A Road Map to 2030, researchers from the Leonard Davis Institute of Health Economics at the University …
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Federal Antitrust Scrutiny of Healthcare Industry Intensifies During Pandemic

Amy Y. Gu, Managing Editor    February 15, 2021
The COVID-19 pandemic has brought national attention to the inner workings of the healthcare industry, exposing many of its shortcomings and issues. Many are now taking a renewed look at the U.S. healthcare system as a whole and the underlying problems that arise from the actions of its various players. Early this year, healthcare transactions that have largely escaped federal antitrust review are now being hauled into the spotlight in new attempts to promote greater competition in the healthcare market.   Physician Consolidation Garners Attention as the FTC Seeks to …
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California’s 2021-2022 Budget Process Begins with Record High Proposal

Mallory Warner, Health Policy Research Fellow    February 12, 2021
Following a tumultuous year that brought about a pandemic-induced recession and consequent budget cuts, California’s 2021-2022 budget year was initiated on January 8th when Governor Gavin Newsom released a $227 billion spending plan, which is notably the most expensive budget proposal in state history. Right before the May Revise for the 2019-2020 fiscal year was released last year, the Department of Finance projected a deficit of more than $54 billion in the California state budget as a result of decreased tax revenue and increased demand for social services.[1] Obviously, this …
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Spotlight on State: South Carolina

Amy Y. Gu, Managing Editor    February 12, 2021
This is part of a series of summaries that highlight notable legislation and initiatives in health policy and reform of all 50 states. Check back on The Source as we roll out additional states each week. See South Carolina page. While South Carolina law does not mandate an all-payer claims database (APCD), the Division of Medicaid Policy Research at the University of South Carolina Institute for Families in Society maintains a private database of voluntary claims submissions. The South Carolina Department of Health and Human Services (SCDHHS), which operates the …
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Spotlight on State: Maine

Amy Y. Gu, Managing Editor    February 4, 2021
This is part of a series of summaries that highlight notable legislation and initiatives in health policy and reform of all 50 states. Check back on The Source as we roll out additional states each week. See Maine page. Maine is a state that actively promotes healthcare price transparency. The Maine Health Data Organization (MHDO), an independent executive agency that the legislature established in 1996, operates the state’s all-payer claims database (APCD). The MHDO has collected health insurance claims information since 2003 and currently shares claims from commercial insurance carriers, …
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The Source Roundup: February 2021 Edition

Alex Montague, Health Policy Researcher    February 1, 2021
With the inauguration of a new administration in the White House, discussions ramped up on the future of health care and new legislative and regulatory possibilities. This month’s Roundup begins with three articles that look at ways to strengthen the Affordable Care Act (ACA) as well as the potential for more significant health reform through the implementation of a public option. On the price transparency front, we cover a report that looks at the effect of New Jersey’s final-offer arbitration system for resolving surprise billing disputes and the new price …
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Spotlight on State: California

Amy Y. Gu, Managing Editor    January 29, 2021
This is part of a series of summaries that highlight notable legislation and initiatives in health policy and reform of all 50 states. Check back on The Source as we roll out additional states each week. See California page. The state of California is a national leader in healthcare price and competition initiatives and continues to make strides in healthcare system reform. In price transparency, California’s repeated efforts to establish an all-payer claims database came to fruition with the passage of AB 1810 in 2018, after a long road of legislative efforts …
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[Issue Brief] State Surprise Billing Protections: Are States Making the Grade for Patients?

Ada Shao, Student Fellow    January 15, 2021
The ongoing COVID-19 pandemic has exacerbated the issue of health care affordability in the United States. According to a Pew Research Center study, since the pandemic began, 25% of adults have had trouble paying bills, with 11% having particular difficulty in affording medical care.  Lower income Americans face an even more dire situation, with 46% having had trouble paying bills and 19% unable to afford medical care.  Already stretched thin by the pandemic, the last thing Americans across the country need is to open their mailboxes to find an unexpected …
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Litigation and Enforcement Highlights – January 2021

Amy Y. Gu, Managing Editor    January 14, 2021
We kick off the new year with a handful of new developments in healthcare litigation and enforcement that transpired at the end of 2020. In price transparency, a pair of legal challenges intended to block transparency efforts in drug pricing and hospital pricing, respectively, were denied by the circuit courts. On the antitrust front, the Federal Trade Commission saw both victory and defeat in its challenges of proposed mergers that would lessen competition in the healthcare markets.   Judges Refuses to Block California’s Drug Pricing Transparency Law SB 17 On …
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Health Affairs Blog Posts Highlight the Database of State Laws Impacting Healthcare Cost and Quality

Amy Y. Gu, Managing Editor    January 14, 2021
The Source kicked off the New Year with a trio of blog posts in the Health Affairs Blog that highlights the Database of State Laws Impacting Healthcare Cost and Quality (SLIHCQ). The SLIHCQ Database was developed in partnership with the Catalyst for Payment Reform (“CPR”) and is an interactive tool that hosts ongoing state legislative efforts to implement healthcare reform. It is intuitively designed to allow policymakers and other stakeholders to customize and filter their searches by key issue and state. In collaboration with CPR, The Source Executive Editor Jaime …
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Recent Posts

  • The Source Roundup: March 2021 Edition
  • Federal Antitrust Scrutiny of Healthcare Industry Intensifies During Pandemic
  • California’s 2021-2022 Budget Process Begins with Record High Proposal
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  • Spotlight on State: Maine

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