In 2019, the Washington legislature enacted a bill requiring insurers on the state’s health insurance exchange to offer plans with standardized benefit designs, beginning in 2021. Colorado and Maryland are considering similar requirements. As these and other states consider the option of standardized health plans, they can benefit from the experiences of California, the District of Columbia (D.C.), Connecticut, Massachusetts, New York, Oregon, and Vermont, all of which require insurers to offer standardized benefit designs. This Expert Perspective outlines benefits and risks of plan standardization, and raises critical questions that states will need to consider, and offers a decision roadmap for states implementing a standardized benefit design requirement.
All-Payer Claims Databases: Current Status and Realizing the Potential
All-payer claims databases (APCDs) offer state policymakers and stakeholders access to the information they need to evaluate the cost and quality of health care. More than 30 states currently have, are implementing, or hold interest in forming an APCD. On this webinar, expert speakers outline the key elements of an APCD, offer advice on their formation, and discuss developing reports and analyses based on the resulting data.