State strategies to avoid antitrust concerns in multipayer medical home initiatives

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 antit...

Full description

Saved in:
Bibliographic Details
Published inIssue brief (Commonwealth Fund) Vol. 21; p. 1
Main Authors Wirth, Barbara, Takach, Mary
Format Journal Article
LanguageEnglish
Published United States 01.07.2013
Subjects
Antitrust Laws - economics
Decision Making
Health Care Surveys
Health Policy - economics
Humans
Liability, Legal
Models, Organizational
Negotiating
Patient-Centered Care - economics
Patient-Centered Care - legislation & jurisprudence
State Government
United States
United States
Online AccessGet more information

Cover

More Information
Summary: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.
ISSN:1558-6847