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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

Related News

February 08, 2017

Pennsylvania House Insurance Committee Hearing on Drug Price Transparency

Today, the Pennsylvania House Insurance Committee held a hearing on drug price transparency. Central to the hearing was House Bill 161, introduced by Representative Anthony DeLuca (D-Allegheny), which creates the Pharmaceutical Cost Transparency Act. Specifically, the bill would require drug companies to disclose the costs and profits of their drugs, including the cost of research and development, marketing, and advertising associated with the drug.

February 06, 2017

CMS Releases Final 2017 Open Enrollment Data; More Than 426,000 Pennsylvanians Enrolled in the Marketplace

The Centers for Medicare & Medicaid Services (CMS) recently released the health insurance marketplace enrollment data for the 2017 open enrollment period that ended January 31.

February 02, 2017

Attention Placed on the Stability of Health Insurance Markets

As federal lawmakers received input from stakeholders on steps that can be taken to stabilize the public Health Insurance Marketplaces for 2017 during two Congressional hearings, the Trump Administration issued proposed policy to promote market stabilization. 

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