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1 05, 2024

The Source Roundup: May 2024 Edition

Healthcare Cost and Spending Promoting Value-Based Healthcare Decisions: A Case Study of Shared Savings Programs in New Hampshire and Maine (Pepperdine Policy Review) Christopher LaCreta and Lawson Mansell Shared savings programs (SSPs) are an emerging policy solution to combatting the rise of healthcare costs. SSPs enable patients to compare prices and receive incentives for saving money on some elective services. Researchers from Pepperdine University’s School of Public Policy recently published results from their case study on the disparities between SSPs in Maine and New Hampshire. Both states passed legislation to enact SSPs between the [...]

The Source Roundup: May 2024 Edition
11 08, 2023

LD 1428

This bill prohibits prior authorization requirements and step therapy protocols under the MaineCare program for prescription drugs used to assess or treat serious mental illness. The implementation of the prohibition must be consistent with the requirements of the Medicaid drug rebate program.

LD 1428
11 08, 2023

LD 97

This bill repeals the Hospital and Health Care Provider Cooperation Act.

LD 97
11 08, 2023

LD 1407

This bill amends the Maine Insurance Code in the following ways. 1. It allows a health care provider to object to a health insurance carrier's material change to a provider agreement within 60 days of receiving notice of the change and extends the date on which a change to a provider agreement takes effect based on that objection. 2. It requires a health insurance carrier to include an estimate of any adverse financial impact on a provider as part of a notice of an amendment to a provider agreement. 3. It clarifies that the [...]

LD 1407
11 08, 2023

LD 1497

This bill prohibits health care providers from balance billing Medicare beneficiaries for any amount in excess of the reasonable charge for a service, procedure or treatment paid to that entity under the Medicare program.

LD 1497
11 08, 2023

LD 1498

This bill establishes the Health Care Provider Assistance Division within the Department of Professional and Financial Regulation, Bureau of Insurance to assist health care providers in obtaining information about health insurance plans, assist health care providers in navigating the health insurance industry, assist health care providers with concerns specific to coverage for individual patients and issues that may have market-wide impact and provide a system for health care providers to submit complaints about violations of statutes or rules.

LD 1498
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