NASHP Tracker Compiles State Hospital Reference-Based Pricing Initiatives
The National Academy for State Health Policy has published an ongoing overview tracking state efforts to implement hospital reference-based pricing tied to Medicare rates. The tracker compiles state purchaser initiatives aimed at controlling hospital price growth through payment rate caps or benchmarks. These state policies primarily affect state employee health plans, not Medicaid programs. The tracker serves as a reference resource for state policymakers monitoring hospital pricing approaches across states.
This tracker documents state hospital pricing strategies in commercial and employee health plan markets, which may inform but do not directly govern Medicaid managed care rate-setting or hospital payment policy.
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