Managed Care

Bringing together hospitals and insurers to identify, address, and resolve coverage issues.
MHA’s Semi-Annual Health Plan Performance Report is being sent to the association’s members this week.
Three bills that MHA and its membership have endorsed throughout their journey in the State House were passed by the legislature last week.
Does an insurance company bear any responsibility for the expensive, impractical policies they are selling?
This conference will look at effective current strategies for improved ROI across an enterprise.
The state’s Health Policy Commission (HPC) held its annual cost trends hearing last Tuesday and Wednesday.
AG Healey will present a report at this week’s HPC trends hearing showing that policymakers should curb their expectations about online price transparency tools .
Cambridge Health Alliance undertook an Agency for Healthcare Research & Quality-sponsored 15-month safety improvement program to reduce infections in the ICU at its Cambridge and Everett hospitals.
Harvard Pilgrim Health Care and Tufts Health Plan, the second- and third-largest health insurers in Massachusetts, respectively, on Wednesday announced plans to merge.
The Massachusetts House last Wednesday passed the Children’s Health & Wellness Act, which identified pain points and recommended solutions for issues, including creation of accurate and easily accessible health plan provider directories.
The US Senate Finance Committee advanced bi-partisan, compromise drug cost legislation on Thursday, despite opposition from a majority of the committee’s Republican members.
Efforts are underway both in Washington and on Beacon Hill to help resolve the problem of “surprise billing.”
Last week, HPC staff presented recommendations for a legislatively mandated report on insurer-compelled “brown-bagging” and “white-bagging” of pharmaceuticals that is forthcoming later this month.
Pharmacy benefit managers (PBMs), the companies that administer drug benefits for health insurance companies, came under scrutiny last week from the Health Policy Commission.
A series of committees with jurisdiction over the healthcare sector are holding hearings on Tuesday – and each has a slew of bills of interest to hospitals.
The 2018 Cost Trends Report from the Health Policy Commission released last month showed the persistent growth in prescription drug spending over the state’s healthcare cost growth benchmark.
National healthcare organizations have announced expansion of a program to assist hospitals in caring for an aging population.
The health insurer United Healthcare has been planning a benefit change whereby patients would be required to receive outpatient elective advanced radiologic imaging in non-hospital settings.
MHA, ONL and others are strongly supporting a bill that would authorize Massachusetts to join 31 other states that have adopted the national Nurse Licensure Compact.
The group representing health insurers in Massachusetts said that if Question 1 passes consumers will likely pay more in premiums.
MHA has informed the HPC about patient safety and cost considerations related to insurance companies’ drug policies.

Resources

Click on the links below for easy access to important information related to state healthcare issues and advocacy.


Visit the Commonwealth of Massachusetts websites below to find information on legislative hearings and other meetings of interest to the healthcare community.


To guide your navigation of the legislative process and assist your advocacy efforts, please visit the following state websites: