2014 State Policies on Provider Market Power

The National Academy of Social Insurance (NASI) commissioned Catalyst for Payment Reform (CPR) to research regulatory approaches, specifically recent state efforts to enhance the competitiveness of health care markets and reduce the ability of providers to use market power in such a way that creates negative consequences for those who use and pay for care. This paper catalogues existing state statutes and regulations that address the contracting practices of health plans and providers likely to reduce competition and lead to higher prices.

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