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Advocacy

State Oversight of Health Insurer-Provider Contracts

There are important health insurance market and delivery system issues that are developing across the commonwealth. In response, the state legislature is considering changes in state oversight of insurer and hospital contracts.

HAP believes there is a compelling public policy interest for the state to ensure that there is a competitive insurance market to enable broad access to coverage.

However, HAP opposes legislation that would result in a regulatory framework that either:

  • Prevents health care providers from being able to effectively structure contractual relationships with health plans
  • Unduly interferes with insurance market competition

Payor Practices Reform

 HAP supports House Bill 1194, sponsored by Representative Steven Mentzer (R-Lancaster), to protect against inappropriate use of prior authorization practices. That action leads to delays in patients receiving medically necessary care and creates significant administrative burdens for providers, which further detracts from patient care.

Additionally, inappropriate use of prior authorization has been shown to increase health care costs for businesses, consumers, and government payors, and also has a significant impact on quality of care. A survey of health care practitioners shows that 92 percent report prior authorization having a negative impact on patient clinical outcomes.

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Hospital Groups File Lawsuit Challenging CMS Mandated Disclosure of Negotiated Rates

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November 15, 2019

PA Hospitals Concerned about Consumer Confusion if New Price Transparency Rules Adopted, Remain Committed to Helping Consumers

The Centers for Medicare & Medicaid Services issued two rules that require hospitals and insurers to make pricing information available to the public.


November 13, 2019

New Survey Looks at Public’s Views about Health Reform

A recent survey explored the public’s opinion about health reform. 


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