April 27, 2017

Around the nation: New Arizona law targets surprise medical bills

Daily Briefing
  • Alabama: The state House on Tuesday voted 84-11 to pass a measure that would let certified non-nurse midwives deliver babies in the state, a practice which has been against the law since the 1970's. Supporters say the measure will help give women more options, particularly expectant mothers in rural areas. According to the AP/Sacramento Bee, the measure faces an uncertain future in the state Senate (Chandler, AP/Sacramento Bee, 4/25).

  • Arizona: Gov. Doug Ducey (R) signed a law (SB 1441) designed to help eliminate so-called surprise medical bills, which occur when a patient goes to an in-network facility but is seen by an out-of-network provider. The law, scheduled to take effect in 2019, allows patients who get a surprise bill to call the state Department of Insurance, which will arrange a call between the insurance company, the doctor, and the patient. Sen. Debbie Lesko (R), who sponsored the bill, said if the case is not settled during that phone call, "then it will go to a private arbitrator [who] will settle the amount and the patient will be out no more expense" (Gooch, Becker's Hospital Review, 4/25).

  • Ohio: According to a new report in the American Journal of Public Health, about 95 percent of Medicaid expansion beneficiaries in Ohio would have no insurance option if efforts to repeal and replace the Affordable Care Act (ACA) eliminate the expansion. According to the report, the vast majority up people covered under the state's expansion qualified because they lost private insurance due to unemployment, did not have private insurance, or were not eligible for their employer's health plan. "Many of these people have nothing else to turn to," said Eric Seiber, lead author of the study and associate professor of health services management and policy at Ohio State University (Castellucci, Modern Healthcare, 4/25).

12 things CEOs need to know in 2017

12 things CEOs need to know in 2017

The continued growth of the consumer-driven health care market threatens the durability of patient-provider relationships—and, at the same time, the push toward population health management and risk-based payment is greater than ever.

Hospitals and health systems must adopt a two-pronged strategy to respond to these pressures and serve both public payers and the private sector.

At the core of that strategy? A formula of accessible, reliable, and affordable care that wins consumer preferences and drives loyalty over time. Below, we share 12 key insights for senior executives working to create a consumer-focused health system.

Download the research brief

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