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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

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November 27, 2017

CMS Updates Medicare Advantage Value-Based Insurance Design Model

The Centers for Medicare & Medicaid Services (CMS) has announced updates for its Medicare Advantage Value-Based Insurance Design Model. The agency plans to expand the model from the seven states, including Pennsylvania, that are currently participating to 25 states by 2019.


November 06, 2017

State Delays Phases 2 and 3 of Community HealthChoices Program, Allowing More Time to Learn from Initial Rollout in West

Today, the Pennsylvania Department of Human Services (DHS) announced that it is delaying the start dates for Phases 2 and 3 of Community HealthChoices (CHC), Pennsylvania’s new Managed Long-Term Services and Supports (MLTSS) program. DHS says it wants to learn from the Phase 1 rollout and allow time to make any necessary adjustments before implementing further phases.   


October 18, 2017

Survey Shows Communication Gaps Between Health Plans and Members

A recent survey from HealthMine Health Intelligence Solution identifies important communication gaps between health plans and plan members.


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