Competition
[Publication] Addressing Health Care Market Consolidation and High Prices: The Role of the States
Amy Y. Gu, Managing Editor January 13, 2020
Urban Institute Research Report (January 2020) “Addressing Health Care Market Consolidation and High Prices The Role of the States” Authors: Robert A. Berenson, Jaime S. King, Katherine L. Gudiksen, Roslyn Murray, Adele Shartzer
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California’s 2020-2021 Budget Proposal Aims at Consolidation and Drug Pricing
Sammy Chang, Health Policy Researcher January 13, 2020
On January 10, California Governor Gavin Newsom released his 2020-2021 State Budget proposal. While the state budget process will not begin in earnest until after the Governor’s May Revise, the state budget provides a glimpse of likely California health care reforms. The Governor’s January Budget Proposal proposes the following: Proposal Goals Office of Health Care Affordability Increase price and quality transparency Develop cost targets for health care industry Address hospital cost trends by region, with focus on cost increases driven by delivery system consolidation Establish standards for advance evidence-based and …
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The Source Roundup: January 2020 Edition
Source Fellow January 6, 2020
By: Swaja Khanna, Student Fellow Happy New Year! We hope you had an exciting start to the new decade! In this edition of the Source Roundup, we cover articles and reports from December that discuss: (1) increase in US health care spending in 2018, (2) health system affiliation and how it affects patient access, (3) out-of-network provider charges between 2012 and 2017, and (4) how billing in-network could save millions. U.S. Health Care Spending Increased 4.6 Percent to Reach $3.6 Trillion in 2018 In the Health Affairs article National …
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[Sutter Case Watch] BREAKING: Settlement Terms Released for Landmark Antitrust Case against Sutter Health
Sammy Chang, Health Policy Researcher December 20, 2019
See UFCW & Employers Benefit Trust v. Sutter Health case page. Today, California Attorney General Xavier Becerra announced the settlement terms for the landmark antitrust case, UFCW & Employers Benefit Trust v. Sutter Health. Sutter Health was alleged to engage in anticompetitive behavior by requiring “all or nothing” contracts, preventing insurance companies from providing tiered health plans, setting extremely high out-of-network rates, and restricting price transparency of provider cost information and rates. As Source Executive Editor Jaime King explains in a Tradeoffs episode, The Train Has Left the Station, …
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Introducing the New Interactive Key Issue Page: Market Consolidation
Amy Y. Gu, Managing Editor December 4, 2019
The Source on Healthcare Price and Competition is excited to announce that, in partnership with UC Berkeley’s Nicholas C. Petris Center on Health Care Markets and Consumer Welfare, we are unveiling a brand new interactive “Market Consolidation” key issue page that presents evidence-based information and analyses on the most effective strategies for states to address rapidly consolidating healthcare markets. Recent evidence demonstrates that provider and insurer markets in the United States have been highly concentrated for years and have led to increased healthcare prices and insurance premiums without a commensurate …
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The Source Roundup: December 2019 Edition
Tiffany Wang, Student Fellow December 2, 2019
Happy December! The holiday season is upon us and it is time to cozy up with a warm cup of tea to the latest health policy news. This edition of the Source Roundup looks at articles on 1) healthcare market consolidation and provider network access, 2) increases in insurance premium contributions and deductibles, and 3) lessons from healthcare system reforms abroad. Healthcare Markets Accountable care organizations (ACOs) have been lauded for providing higher quality medical care at lower costs. In a recent Health Affairs research article, Changes in Physician Consolidation …
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[Sutter Case Watch] Source Executive Editor Jaime King Discusses Sutter Health Settlement in Podcast
Amy Y. Gu, Managing Editor October 30, 2019
See UFCW & Employers Benefit Trust v. Sutter Health case page. As the healthcare industry grapples with the recent settlement of the antitrust case against Sutter Health, The Source Executive Editor Jaime King discusses the possible motivations and implications of this development in Tradeoffs, a healthcare podcast. In Episode 2 of the podcast, The Train Has Left the Station, Professor King points out that because Sutter is a model for many other health systems around the country, the lawsuit against Sutter’s contracting practices, including all or nothing provisions, had …
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[Sutter Case Watch] BREAKING: Sutter Health Settles Massive Antitrust Suit to Avoid Trial
Amy Y. Gu, Managing Editor October 16, 2019
See UFCW & Employers Benefit Trust v. Sutter Health case page. The historic court case against Sutter Health alleging anticompetitive contract practices took an unexpected turn today when Judge Anne-Christine Massullo of the Superior Court of San Francisco dismissed the jury, announcing that Sutter has reached a preliminary settlement with the California AG and class action plaintiffs. Opening arguments in the case were set for October 21, after it was delayed from October 10 due to an insufficient number of jurors. The trial was estimated to last about 12 weeks and …
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[Sutter Case Watch] BREAKING: Sutter Trial Delayed Due to Jury Trouble
Source Fellow October 10, 2019
See UFCW & Employers Benefit Trust v. Sutter Health case page. Updated 10/11/19: Start of Trial further delayed to Monday, October 21 per 10/11 hearing regarding jury selection. By: Alex Montague, Graduate Research Fellow Opening arguments for the antitrust case against Sutter Health, set to begin Oct 10 at 10:15am in the Superior Court of San Francisco, were postponed today after the court expressed concern that there was an insufficient number of jurors available to move forward for the trial. Several jurors were absent for today’s trial due to medical conditions …
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[Case Watch] Jury Trial in Antitrust Case Against Sutter Health Set to Begin
Amy Y. Gu, Managing Editor October 9, 2019
See UFCW & Employers Benefit Trust v. Sutter Health case page. The landmark antitrust case against Sutter Health, the largest provider of general acute hospital services in Northern California, is set to begin jury trial in the Superior Court of San Francisco on October 10 and is expected to last 12 weeks. The trial will begin at 10:15am with opening arguments from both parties. The Source has been closely tracking this case leading up to the trial. Executive Editor Jaime King was quoted in multiple news outlets, including the New York …
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