Tackling Hospital Prices to Improve Affordability
Why hospital prices?
Rapidly increasing hospital prices are a primary driver of skyrocketing commercial health insurance costs, worsening the health care affordability crisis nationwide. High and growing health care costs are straining state budgets, burdening local businesses, hindering patient access, and undermining household financial stability as consumers are increasingly forced to choose between paying for health care and meeting other essential needs such as rent or groceries.
States are building momentum to address excessive hospital prices
To confront this affordability crisis, states across the political spectrum are taking action to rein in excessive hospital prices. Recent and pending state initiatives reflect a growing recognition that tackling hospital prices is a key piece of the affordability puzzle. These efforts demonstrate that states can make meaningful progress using evidence-informed strategies tailored to state policy goals.State Hospital Pricing Strategies
Explore approaches and state examples to improve affordability and rein in excessive hospital prices.
The State Hub for Hospital Pricing Strategies refers to hospital “prices” as the contractual rates that commercial insurers pay to hospitals, rather than the list or billed price, unless otherwise indicated.
Hospital Price Growth Targets
Establishes a public expectation for hospital price growth each year.
Learn More →Hospital Global Budgets
Provides fixed payment amounts to hospitals for a set of defined services.
Learn More →Site-Neutral Payments
Eliminates the price differential for certain outpatient services delivered within hospital-owned settings and other lower-cost settings.
Learn More →Facility Fee Bans
Bans additional fees for certain outpatient services delivered within hospital-owned settings.
Learn More →Allocation of Savings Generated by Hospital Pricing Policies
Provides examples of how states can choose to allocate savings produced by hospital pricing strategies.
Learn More →State Regulatory Levers for Implementation and Enforcement
Provides options for state regulatory approaches to implementing and enforcing hospital pricing strategies.
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