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2 05, 2022

The Source Roundup: May 2022 Edition

This month in The Source Roundup, we cover articles and reports that examine: 1) the effect of private equity acquisition of hospitals; 2) the latest trends on hospital prices; and 3) ACA marketplace premiums at the state level in the last 3 years. Additionally, we highlight several cost containment strategies studied in recent reports, including 4) a progressive taxing proposal co-authored by The Source team, 5) establishing a state cost commission in California with lessons from other states, and 6) purchaser-led efforts to reduce healthcare costs.   Consolidation and Competition On the topic of [...]

The Source Roundup: May 2022 Edition
29 04, 2022

SB 5204

An act relating to health care financing and devlopment of the whole Washington health trust to ensure all Washington residents can enroll in nonprofit health insurance coverage providing an essential set of health benefits, including medical, dental, vision, and prescription drug benefits.

SB 5204
29 04, 2022

HB 1047

Requiring coverage for hearing instruments for children and adolescents.

HB 1047
29 04, 2022

SB 5246

Requires the Health Care Authority to direct Medicaid managed care plans to increase primary care rates through adoption of a uniform rate increase for network providers.

SB 5246
29 04, 2022

HB 1191

Ensuring equity in health coverage. This bill is proposing a health care program for all residents of Washington whose immigration status prevents them from qualifying for Medicaid programs. Requires Washington HCA to provide health care coverage to individuals who are at least 19 years old, have countable income at or below 133% of the federal poverty level (FPL), are not incarcerated, and are not eligible for Medicaid categorically needy (CN) medical assistance coverage.

HB 1191
29 04, 2022

SB 5335

An act relating to acquisitions of health care facilities; person may not engage in acquisition of a hospital or hospital system without first having applied for and received approval of the Department of Health.

SB 5335
29 04, 2022

HB 1461

Concerning health coverage for wraparound services. Requiring a health plan to provide coverage for wraparound services for persons under 21 years of age

HB 1461
29 04, 2022

HB 1462

Requires regulated health carriers, public employee and school employee health plans, and medicaid managed care plans to reimburse a provider for health care services provided through telemedicine at the same rate as health care services provided in person, unless an exception is met.

HB 1462
29 04, 2022

SB 5420

Concerning data reporting requirements for hospitals.

SB 5420
29 04, 2022

HB 1160

The bill would prohibit affiliate contracting, all-or-nothing contracting, anti-tiering, and gag clauses. Beginning January 1, 2022, a contract between a hospital or affiliate hospital and a health carrier may not, directly or indirectly: • set provider compensation agreements or other terms for nonparticipating affiliates of the hospital; • require a health carrier to contract with the hospital's affiliates; require health insurers to place a hospital or affiliate in an enrollee cost-sharing tier that reflects the lowest or lower enrollee cost-sharing amounts; or • require health carriers to keep the contracts payment rates confidential from [...]

HB 1160