Nationwide Trends
All Payer Claims Databases (APCD)
For more on APCD’s, check out the report “The Secret of Health Care Prices: Why Transparency Is in the Public Interest”.
Surprise/Balance Billing Protections
For more on state surprise billing statutes, refer to our Issue Brief on The Source Blog.
State Merger Review Authority
For more on provider and insurer market consolidation, see key issue page Market Consolidation.
State Regulation of Anticompetitive Provider Contract Terms
See major litigation and resource tables on key issue page Provider Contracts.
Certificate of Public Advantage Laws
For more on provider and insurer market consolidation, see key issue page Market Consolidation.
Telehealth Requirements Under Existing Mandates and COVID-19 Emergency
See data charts on COVID-19 Crisis Key Issue Page for more information.
State Public Option Proposals
For more on state public option legislation, see key issue page System Reform.
The State Database
State laws and regulations governing healthcare can vary greatly and have the potential to impede or facilitate improvements to the functioning of the healthcare marketplace. The Source tracks state activities impacting healthcare price and competition in both legislation and litigation in a searchable database to help stakeholders at the state level understand their legal and regulatory environment as they make efforts to improve access, quality, and efficiency, and reduce costs in healthcare.
LEGISLATION: The Database of State Laws Impacting Healthcare Cost and Quality (SLIHCQ), created by The Source on Healthcare Price & Competition and Catalyst for Payment Reform with support from the Robert Wood Johnson Foundation, catalogues state legislation to contain healthcare costs and improve quality in a searchable and sortable, public database. These laws impact price transparency, provider market power, provider payment, provider networks, and benefit design. The database also includes pharmaceutical legislation beginning in the 2017-2018 legislative session, and continues to populate newly enacted pharmaceutical legislation as part of the database.
*Note: Current legislative session bill updates are ongoing. Check back weekly for updates.
LITIGATION: The Source tracks major litigation and antitrust enforcement action by federal entities (FTC or DOJ), state attorney generals, and private parties in the main provider and insurer markets, particularly legal challenges of healthcare consolidation and anticompetitive contract provisions. Additionally, the database contains major pharmaceutical cases including legislation challenges and significant appellate cases.
USER GUIDE: The Database utilizes key issue tags for all legislation and litigation records as a guide for users to quickly identify important topics (see User Guide for more info). Search the Database for specific bills, statutes or cases by key issue category, keyword, and/or jurisdiction. *Multiple filter/selections enabled.
111 results returned.
District Court: Colorado District Court Docket: Status: Decided
In November 2012, the operators of four ambulatory surgery centers in Denver sued two hospital systems and several insurance companies, alleging defendants had used their market …
Southcoast Hospitals v. Steward St. Anne’s
District Court: Superior Court of Massachusetts, Suffolk County District Court Docket: Status: Decided
Southcoast Hospitals Group sued a rival hospital chain Steward St. Anne’s and the state health agency in October 2015 in Suffolk County superior court, seeking to stop …
Herrera et al. v. JFK Medical Center et al.
District Court: M.D. Florida District Court Docket: Status: Decided
In August 2014, plaintiffs filed a putative class action against multiple HCA-operated hospitals in Tampa, alleging they were charged unreasonable amounts for emergency radiological services. …
Sidibe v. Sutter Health
District Court: Northern District of California District Court Docket: Status: Pending
The class action case was filed in federal district court in San Francisco in September 2012 and alleges that Sutter Health restricted competition in the …
Omni Healthcare Inc. et al. v. Health First, Inc. et al.
District Court: Middle District of Florida District Court Docket: Status: Decided
A set of physicians, physicians’ groups and physicians’ assistants in Orlando sued Health First, a fully integrated healthcare corporation, for a monopolization scheme through which …
Previous | Next | See all Litigation Records
Individual State Pages
If you would like to report a possible data discrepancy, please email info@sourceonhealthcare.org or contact The Source here.