At the 2023 Southern California State of Reform Health Policy Conference, healthcare industry leaders discussed the state of California’s healthcare system, including financial hardships and workforce challenges.  George Greene, president and CEO of the Hospital Association of Southern California, emphasized the importance of good infrastructure. He said if the healthcare system is not adequately set … Read more

Helping patients use transparency tools and understand their healthcare expenses could help lower costs throughout the industry, according to experts who discussed the topic at the 2023 Michigan State of Reform Health Policy Conference.     Brian McLane, senior director of customer experience and consumer insights at Priority Health Plan, noted that 40% of Americans … Read more

On Wednesday, the Colorado Division of Insurance (DOI) outlined the results of health plans’ premium rate reduction filings for the Colorado Option for the 2024 plan year, submitted by carriers on March 1st.      The Colorado Option requires carriers to offer the standardized public option plan with premiums that are 10% and 15% lower … Read more

A bill sponsored by Rep. Tina Orwall (D-Kent) would improve Washingtonians’ access to hearing devices by requiring health plans to provide coverage for them.     Members of the Senate Health and Long Term Care Committee discussed House Bill 1222 during a public hearing on Tuesday. The bill would require non-grandfathered, large group health plans … Read more

The Insure The Uninsured Project (ITUP) recently wrapped up their 2022 regional workgroups, which held stakeholder conversations throughout the state to hear about their experiences with the first year of CalAIM implementation.     ITUP Executive Director Katie Heidorn told State of Reform that these workgroup listening sessions were a valuable opportunity to focus on … Read more

A bill that would significantly reduce administrative burdens in physician practices may be close to passing the Assembly.      Senate Bill 250, sponsored by Sen. Richard Pan (D–Sacramento) and Scott Wiener (D–San Francisco), would prohibit a health plan or insurer from requiring a health professional to obtain a prior authorization for any health care … Read more

The Centers for Medicare & Medicaid Services (CMS) announced the approval of the 2023 minimum health care coverage Colorado benchmark health insurance plan on Tuesday. The plan establishes the minimum standards for essential health benefits (EHBs) in Colorado for small group plans — for employers with less than 100 employees — and individual plans.  The … Read more