Bailit Health

@bailithealth.bsky.social

Helping healthcare purchasers and regulators obtain superior performance

New op-ed via @cwbeacon.bsky.social Michael Bailit (Bailit Health) and Eileen McAnneny (Employer Coalition on Health) on why Massachusetts hospital prices vary as much as 5:1 for routine services, and how Rhode Island shows a workable alternative. Read more: bit.ly/4wxqwmW

Massachusetts can no longer ignore the health care affordability crisis

Massachusetts must look at how to control hospital costs while maintaining the high-quality care that has long defined our state’s health care system.

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In 2023, none of 7 states with a health care cost growth target met it. A new Health Affairs piece by Bailit Health argues that’s not failure — it’s a mandate for stronger intervention. Hospitals + Rx drugs drive nearly 70% of commercial spending, fueled by price — not use. bit.ly/43GExTa

States Are Exceeding Their Health Care Cost Growth Targets. What Does It Mean? | Health Affairs Forefront

That most states have exceeded their cost growth targets is not evidence that the targets have failed—it is evidence that complementary policies are needed to address the cost drivers that the target ...

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“Ensuring State Health Care Affordability Strategies Work for All,” authored for @milbankfund.bsky.social by Erin Taylor & Matt Reynolds. Four levers for states: embed equity in cost‐growth targets, equitable price oversight, consumer relief on costs/debt, and adequate Medicaid rates. bit.ly/4oPY0t7

Ensuring State Health Care Affordability Strategies Work for All | Milbank Memorial Fund

This post describes ways states can safeguard and promote health equity alongside their efforts to make health care more affordable, particularly for those who bear the greatest burden of high and ris...

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Bailit Health’s new Health Affairs Forefront article examines how vertically integrated insurers may use non-claims payments to meet MLR thresholds without delivering more care. The authors outline emerging concerns and recommend stronger oversight. bit.ly/3IFQDoD #HealthPolicy #MLR

How Insurers That Own Providers Can Game The Medical Loss Ratio Rules | Health Affairs Forefront

As states pursue policies to slow cost growth, they must apply greater scrutiny of vertical integration arrangements—especially around internal financial transactions between affiliated entities.

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