Publication
Katherine L. Gudiksen, Erin Fuse Brown, and Johanna Butler
April 12, 2021
Rampant consolidation in nearly every state has created dominant health care systems that can use anticompetitive contracting practices to charge supracompetitive prices, especially to commercial insurance plans. The Source Senior Health Policy Researcher Katie Gudiksen, with Erin Fuse Brown and Johanna Butler, co-authored the NASHP model legislation for states to rein in the use of these contract terms, including all-or-nothing, most-favored nation, anti-steering/anti-tiering, and gag clauses.
A companion report, A Tool for States to Address Health Care Consolidation: Prohibiting Anticompetitive Health Plan Contracts, further details the contract terms and how the model act can give states essential tools to create a more level playing field and help rein in rising health care costs.
For more information and details on the anticompetitive contract terms, visit the Source Provider Contracts interactive key issue page.
Source Sightings
California’s Sutter Health Settlement: What States Can Learn About Protecting Residents from the Effects of Health Care Provider Consolidation
Jaime King, et al.
September 23, 2020
CHS’ Texas hospital sales could raise costs, lower quality: FTC
Tim Greaney
September 15, 2020
Surprise Billing: A Window into the U.S. Health Care System
Tim Greaney
September 8, 2020
Preventing Anticompetitive Contracting Practices in Healthcare Markets
Katherine L. Gudiksen, et al.
September 8, 2020
State Efforts to Address Health Care Consolidation and Costs
Katie Gudiksen
August 21, 2020