Insurer Market Conduct Resources and Information | HAP

HAP

Login to view your account.

Don't have an account? Click here.

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.

Related News

October 11, 2019

Pennsylvania Featured in New Report about States Moving from Federal- to State-based Health Care Marketplaces

Pennsylvania is one of six states examined in an Urban Institute report examining an increasing trend among states: a shift from federal- to state-based health care marketplaces.


October 09, 2019

It’s Mental Illness Awareness Week––State Agency Highlights that Hospital Stays for Treatment Exceeded One Million Days during 2018

Since 1990, the first full week of October has been dedicated as Mental Illness Awareness Week. A new research brief highlights the number of hospital stays for behavioral health treatment, as HAP advocates for expanded access to care.


October 01, 2019

HAP Teams Up with Insurance Department for Health Literacy Month, Supports Programs That Empower Consumers

October is Health Literacy Month. HAP is once again partnering with the Pennsylvania Insurance Department and other health care and community partners to  help consumers make well-informed decisions.


View all Insurer Market Conduct News

Related Blogs

There are no blog posts for this section.

Learn

There are no events for this issue.

See all Insurer Market Conduct events
« Close