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

July 19, 2019

Public Health Priorities, Drug Price Transparency and Surprise Medical Billing Legislation Advance through U.S. House Committee


July 02, 2019

Governor Wolf Signs State-Based Health Insurance Exchange Legislation

HAP President and CEO Andy Carter joined Governor Tom Wolf, lawmakers, and stakeholders for the signing of House Bill 3, which creates the Health Insurance Exchange Authority to operate a state-based health insurance exchange for individual market plans. 


May 28, 2019

Health Care Out-of-pocket Spending among Households with Employer Insurance Varies by State, with PA Families Doing Somewhat Better than Average

A recent report from The Commonwealth Fund examines, by state, how much families with employer-based insurance spent on premiums and out-of-pocket costs during 2016-2017. Many families spent thousands of dollars a year, but amounts varied widely among households and from state to state.


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