February is Children’s Dental Health Month—the perfect time to raise awareness about the importance of oral health and the work that remains to ensure that all children have access to high-quality, affordable dental coverage and care. Congress, state lawmakers, and regulators can make progress on some of the nation’s most pressing children’s dental health issues by following the recommendations we discuss here.
Reference Pricing Programs Need to Follow Key Guidelines to Ensure That They Don’t Shift Costs to Consumers
Recent news articles have highlighted how some employer-based health plans have started to set dollar caps on what they will pay for certain health care services. If a consumer goes to a provider that charges more than the cap for that type of care, he or she must pay the difference. This strategy is called reference pricing.
Reference pricing is meant to encourage consumers to shop for the best care at the best price, and it even has the potential to pressure some expensive providers to set more competitive prices.
Although the Affordable Care Act now offers individuals greatly expanded access to health coverage, simply having an insurance card does not guarantee access to high-quality health care.
Congressional committees have advanced initial measures to address prescription drug costs. However, their work to date has not focused on the significant policy changes needed to meaningfully lower drug prices. To address the drivers of excessive prescription drug prices in the United States, the Coalition for Fair Drug Prices urges Congress to enact meaningful policies that leverage the federal government’s power to negotiate drug prices.
A recent New York Times editorial explored the exciting potential of allowing alternative health providers give patients routine care. This step could help meet the growing demand for primary care services as we face a shortage of primary care physicians in many areas. And, it could save both consumers and the health system money.
Learn how patients and health care providers can team up to ensure better health care for consumers at a lower cost and in a timely manner.
Today, we’re kicking off an occasional series of posts about the State Innovation Models (SIM) Initiative. Over the coming months, we’ll use the SIM Initiative to explore how states are engaging in innovative reforms geared at improving the quality and delivery of care and reducing costs.
In this first post, we’ll provide a brief backgrounder on the initiative. In future posts we’ll delve into what’s happening on the ground, talk to health care stakeholders about how SIM is playing out in their states, highlight best practices, and flag key issues for advocates.
Families USA, Mental Health America, the National Alliance on Mental Illness, and the National Council for Behavioral Health are four nonprofit, nonpartisan organizations that represent health care consumers, including those with mental health and substance use disorders. We have joined together to bring attention to a heath care policy put forth by the Trump administration that expands short-term health insurance plans.
Public and private health insurers can design health plans to promote the use of health care services and providers that offer the best health results, at the best price. Known as value-based insurance design, this approach can improve patients’ health and promote use of high value care.
The State Innovation Model (SIM) grant program gives states funding and technical assistance to design and test new ways to provide and pay for health care. This brief examines the six states that received Round 1 SIM Testing grants to identify best practices for consumer advocate engagement.