Health care costs for consumers, small businesses and the bureau of prisons / edited by Maik Nacht.

Format:

Book

Contributor:

Nacht, Maik, editor.

Series:

Small Business Considerations, Economics and Research

Language:

English

Subjects (All):

Medical care, Cost of--United States.

Medical care, Cost of.

Healthcare Financing.

Physical Description:

1 online resource (282 pages) : illustrations

Place of Publication:

New York, New York : Snova, [2019]

Summary:

Healthcare costs continue to rise in the United States and many Americans are struggling to budget and pay for their healthcare expenses. As healthcare costs continue to rise, many Americans still have no idea how much something will cost them before they receive care. Chapter 1 examines some of the causes of increased healthcare costs, and increasing healthcare costs. One of the biggest challenges for small businesses wishing to help their employees with health care is the cost. Small businesses helping their employees purchase health insurance is discussed in chapter 2. From fiscal years 2009 through 2016, the Bureau of Prisons (BOP) obligated more than USD 9 billion for the provision of inmate health care and several factors affected these costs. Chapter 3 addresses BOP's costs to provide health care services and factors that affect costs; the extent to which BOP has data to help control health care costs; and the extent to which BOP has planned and implemented cost control efforts.

Contents:

Intro

Contents

Preface

Chapter 1

Examining State Efforts to Improve Transparency of Healthcare Costs for Consumers(

Opening Statement of Hon. Gregg Harper, a Representative in Congress from the State of Mississippi

Prepared Statement of Hon. Gregg Harper

Opening Statement of Hon. Kathy Castor, a Representative in Congress from the State of Florida

Prepared Statement of Hon. Kathy Castor

Opening Statement of Hon. Greg Walden, a Representative in Congress from the State of Oregon

Prepared Statement of Hon. Greg Walden

H. R. 5547, 114th Congress, 2nd Session

In the House of Representatives, June 21, 2016

A Bill

Section 1. Short Title

Sec. 2. Increasing the Transparency of Information on Hospital Charges and Making Available Information on Estimated Out-of-Pocket Costs for Health Care Services

Sec. 3. Research on Information Valued by Consumers on Charges and out-of-Pocket Costs for Health Care Services

Opening Statement of Hon. Frank Pallone, Jr., a Representative in Congress from the State of New Jersey

Prepared Statement of Hon. Frank Pallone, Jr.

Statement of Jaime King, Ph.D., Professor, UC Hastings College of Law

and Michael Chernew, Ph.D., Professor, Department of Health Care Policy, Harvard Medical School

Statement of Jaime King

Testimony of: Jaime S. King, Examining State Efforts to Improve Transparency in Healthcare Costs for Consumers, Subcommittee on Oversight and Investigations Committee on Energy and Commerce, U.S. House of Representatives, Tuesday, July 17, 2018

Summary of Testimony

Testimony of Jaime S. King

Introduction

Summary of Key Points

Overview of State Price Transparency Initiatives

All Payer Claims Databases

Price Comparison Tools

Right to Shop Laws

Restrictions on Surprise and/or Balance Billing.

Prohibitions on Anti-Transparency Contract Provisions

Naming and Shaming Laws

The Unrealized Potential of Consumer-Focused Transparency Tools

Maximizing the Potential of Price Transparency Tools

Patients

Providers

Payers

Policymakers

Legal Barriers to Price Transparency

What Can Congress Do?

1. Address ERISA Preemption Challenges

2. Encourage Consumer Pricing Shopping Initiatives

3. Create a Public Interest Exemption to Trade Secrets

4. Mandate Interoperability of Electronic Medical Records Systems

5. Develop Billing Codes to Pay for Physician Time for Shared Decision-Making

Appendix A: 2018 Legislative Session

Statement of Michael Chernew

Testimony of: Michael Chernew, Examining State Efforts to Improve Transparency in Health Care Costs for Consumers, Subcommittee on Oversight and Investigations, Committee on Energy and Commerce, U.S. House of Representatives, Tuesday, July 17, 2018

Main Points

Testimony

U.S. House of Representatives Committee on Energy and Commerce

I. Witnesses

II. Background

A. Health Care Expenditures

B. Health Care Price Transparency Efforts

Overview

ii. State Efforts to Promote Transparency of the Cost of Health Care Services for Consumers

iii. Other Price Transparency Tools that are Available to Promote Transparency of Health Care Services for Consumers

C. Role and Impact of Health Care Price Transparency

iii. Issues

iv. Staff Contacts

Health Affairs Blog Building Something Worth Building for All Patients

Ownership Encourages Quality

The Relative Efficiency of ASCs

The Need for Better Data on Physician Owners of ASCs

Differing Attitudes toward the Provision of Health Care

NCPA - National Community Pharmacists Association

State Efforts to Increase PBM Transparency in the Medicaid Program

Conclusion

Chapter 2.

Small Business Health Care: Costs and Options(

Opening Statement of Senator Enzi

Statement of Tom Glause, Commissioner, Wyoming Department of Insurance, Cheyenne, WY

Prepared Statement of Tom Glause

Statement of Warren S. Hudak, Jr., President, Hudak and Company, New Cumberland, PA

Prepared Statement of Warren S. Hudak, Jr.

Costs and Limitations

Options for Relief

Statement of Thomas M. Harte, President, Landmark Benefits, Inc., Hampstead, NH

Prepared Statement of Thomas M. Harte

Factors Driving Healthcare Costs and Health Insurance Market Policies That Have Affected Premiums for Small Businesses

Increased Utilization

Government Regulation

Factors That Small Businesses Must Consider When Assisting Their Employees in Purchasing Health Insurance

Small Group Market Policy Recommendations

Statement of Sarah Lueck, Senior Policy Analyst, Center on Budget and Policy Priorities, Washington, DC

Prepared Statement of Sarah Lueck

What Factors Are Driving Health Care Costs For Small Businesses?

What Federal Insurance Market Policies Have Affected Premiums for Small Businesses?

What Factors Must Small Businesses Consider When Assisting Employees In Purchasing Health Insurance?

Statement of Senator Scott

Statement of Senator Cassidy

Additional Material Prepared Statement of Senator Hatch

Chapter 3

Bureau of Prisons: Better Planning and Evaluation Needed to Understand and Control Rising Inmate Health Care Costs(

Why GAO Did This Study

What GAO Recommends

What GAO Found

Abbreviations

Background

Provision of Health Care

BOP Institution Care Levels

BOP Electronic Medical Records System

Health Care Planning and Oversight

BOP Obligated More Than 9 Billion for Inmate Health Care from Fiscal Years 2009 through 2016 and Several Factors Affected Costs.

BOP's Annual Health Care Obligations Have Increased overall and on a Per Capita Basis

Various Factors Affected BOP's Health Care Costs

Inmates Entering with Relatively Poorer Health

Aging Inmates

Rising Pharmaceutical Prices

Outside Medical Services

BOP Lacks or Does Not Analyze Certain Health Care Data Necessary to Understand and Control its Costs

BOP Lacks Health Care Utilization Data

BOP Does Not Analyze Available Health Care Spending Data

BOP Has Initiatives Aimed to Control Health Care Costs but Has Not Assessed Their Effectiveness, Applied a Sound Planning Approach, or Documented its Analyses of Federal Medical Centers' Missions

BOP Has Initiatives Intended to Control Health Care Costs but Has Not Evaluated Their Effectiveness

BOP-Wide Initiatives

Regional and Institutional Initiatives

BOP Has Planned and Implemented Initiatives without Considering Certain Elements of Sound Planning

BOP Does Not Document Its Mission Analyses of Its Federal Medical Centers

Recommendations for Executive Action

Agency Comments and Our Evaluation

Appendix I: Objectives, Scope, and Methodology

Appendix II: Bureau of Prisons (BOP) Institutions by Medical Care Level as of March 2017

Appendix III: Bureau of Prisons (BOP) Federal Medical Centers

Index

Blank Page.

Notes:

Includes index.

Description based on print version record.

ISBN:

1-5361-6863-7

OCLC:

1134074051