Catalyst for Payment Reform

Issue Brief #3: Shore up Market Against Consolidation and Rising Prices

Market-based interventions have provided insufficient relief from rising commercial health care costs. As a result, states have a unique and pressing opportunity to enact policies that place downward pressure on unit prices and rebalance market power toward health care purchasers and consumers. The geographic, political, and economic diversity across the 50 United States opens possibilities for state governments to shape their own policy agendas; however, states will likely find that a single piece of legislation proves insufficient to deliver meaningful relief, and/or will create vulnerabilities that are easily exploited by stakeholders who benefit from the status quo. Therefore, state legislators may want to consider combinations or menus of policy options to create complementary infrastructure, close loopholes and plan for contingencies.

This issue brief, the third of six, identifies policies for states in which health care markets still retain some functional competition, but are at risk of consolidation.  The policies in this menu are intended to empower a state’s Attorney General (AG) to monitor or approve acquisitive health care activity and enforce bans on anticompetitive behavior.

Download all six briefs here.

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CPR will host a 4 part webinar series laying out the case for combinations of state policy interventions designed to place downward pressure on commercial prices and rebalance market power. Register for those webinars below:

CPR’s white paper profiles five scenario-based policy menus, designed to help state policymakers, advocacy organizations and other stakeholders navigate through the multitude of policy intervention options and identify those best suited to meet their unique circumstances.

Download the FREE report here.

Type: Action Brief

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