2018 Legislative Talking Points

| January 19, 2018

MassAHU works to enhance the health care delivery system in the Commonwealth.  We advocate for the well-being of the market, our clients and our members.  The Legislative Committee and the Board work with our legislators and other interest groups to support initiatives which improve access and affordability, and oppose efforts which we believe will not be beneficial.  The Legislative Committee will focus on 3 broad issues, with sub-issues within each.

Administrative & Cost Burdens on Employers:

  • As stewards to our clients and to the business community, we will look to streamline, simplify and eliminate some of the significant burdens employers in the Commonwealth deal with in the course of providing competitive and comprehensive benefit packages to their employees.
  • Advocate for innovative, cost-effective and cost-saving benefit plans and provisions
  • Advocate against costly, narrowly-focused or non-evidence-based mandates
  • Advocate for access to non-network providers if less costly than in-network providers.


Medicaid / MassHealth Reform:

  • Advocate for a 1332 Waiver to eliminate access to MassHealth if one has access to an Employer-sponsored plan.
  • Push for enforcement of existing MassHealth eligibility regulations
  • Eliminate the “Single Payer / Medicaid Buy-in” provisions in the Senate bill, as the current enrollment in that system is unaffordable, unsustainable and is doing damage now to the rest of the health care delivery system in the Commonwealth.
  • Support the inclusion of the “Name & Shame” list of top 30, 40, 50, etc. employers with the highest number of MassHealth enrollees so we can target remedies effectively.

Real Transparency:

  • Encourage Chapter 224 enforcement, the existing transparency requirements for providers, but assigning the responsibility and accountability to a specific agency.
  • Advocate for real solutions to the issue of provider price variation without corresponding variations in measurable outcomes.
  • Advocate for a higher “floor” for lowest-cost providers only with a corresponding lower cap on the highest-cost providers.
  • Advocate for true RX transparency, which includes manufacturers, PBMs, providers and payers.MassAHU works to enhance the health care delivery system in the Commonwealth.  We advocate for the well-being of the market, our clients and our members.  The Legislative Committee and the Board work with our legislators and other interest groups to support initiatives which improve access and affordability, and oppose efforts which we believe will not be beneficial.  The Legislative Committee will focus on 3 broad issues, with sub-issues within each.Administrative & Cost Burdens on Employers:
    • As stewards to our clients and to the business community, we will look to streamline, simplify and eliminate some of the significant burdens employers in the Commonwealth deal with in the course of providing competitive and comprehensive benefit packages to their employees.
    • Advocate for innovative, cost-effective and cost-saving benefit plans and provisions
    • Advocate against costly, narrowly-focused or non-evidence-based mandates
    • Advocate for access to non-network providers if less costly than in-network providers.


    Medicaid / MassHealth Reform:

    • Advocate for a 1332 Waiver to eliminate access to MassHealth if one has access to an Employer-sponsored plan.
    • Push for enforcement of existing MassHealth eligibility regulations
    • Eliminate the “Single Payer / Medicaid Buy-in” provisions in the Senate bill, as the current enrollment in that system is unaffordable, unsustainable and is doing damage now to the rest of the health care delivery system in the Commonwealth.
    • Support the inclusion of the “Name & Shame” list of top 30, 40, 50, etc. employers with the highest number of MassHealth enrollees so we can target remedies effectively.

    Real Transparency:

    • Encourage Chapter 224 enforcement, the existing transparency requirements for providers, but assigning the responsibility and accountability to a specific agency.
    • Advocate for real solutions to the issue of provider price variation without corresponding variations in measurable outcomes.
    • Advocate for a higher “floor” for lowest-cost providers only with a corresponding lower cap on the highest-cost providers.
    • Advocate for true RX transparency, which includes manufacturers, PBMs, providers and payers.

Category: Consumer & Industry News, Legislative Updates

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