State strategies to avoid antitrust concerns in multipayer medical home initiatives.

Authors, Primary Wirth,B.;Takach,M.
Title Primary State strategies to avoid antitrust concerns in multipayer medical home initiatives.
Periodical Full Issue Brief (Commonwealth Fund)
Pub Year 2013
Volume 21
issue Not Available
Start Page 1-9
Abstract Currently, 20 states have had one or more active multipayer medical home initiatives. As more states convene multiple payers and work to align payment policies, concerns regarding antitrust liability will need to be addressed. This issue brief provides a summary of state strategies to navigate antitrust concerns in multipayer medical home initiatives. Information for this brief was obtained from a survey sent to 14 states combined with a scan of state websites. Nine states have policies in place either through legislation or executive order to provide some legal protection for their efforts to displace competition among payers. Out of concern that legislation was not sufficient, policymakers in one state also conducted oversight activities to reduce the risk of antitrust liability. Six of the 14 states surveyed have engaged in multipayer initiatives without formal antitrust protection.
Publisher Not Available
Place of Publication United States
Author/Address National Academy for State Health Policy, USA. bwirth@nashp.org
PubMed Link
Reference Type(s) Policy Brief
Topic Tag(s) Cost and Reimbursement;Policy Issues
Special Population(s) Not Available
Case Study No
Commentary/Opinion Piece No
Historical Publication No
Key/Foundational Article No
Literature Review No
Article Rating No
Summary of Article Rating No