Lawmakers Point to 'Transparency' to Contain Health Care Costs
More than a half-dozen “transparency” bills have been filed in the Legislature, with lawmakers eager to use them to hold down health costs.
March 08, 2019 at 03:24 PM
4 minute read
Another year, another round of promises that health care costs could be contained if consumers across Florida just had more information. The question that remains is whether it will work.
More than a half-dozen “transparency” bills have been filed in the Legislature, with lawmakers eager to use them to hold down health costs.
But the push for the legislation comes as existing transparency initiatives, backed by the promises of millions of dollars in state funding, have foundered. And some of the efforts to lower costs of care, critics warn, could actually have the opposite effect.
Gov. Ron DeSantis said that he's “ordered us to get going” on a statewide health price-transparency website that was created by former Gov. Rick Scott.
Florida signed a $6.1 million contract with the Health Care Cost Institute to develop the Florida HealthPriceFinder website, but the effort has been hampered by the state's inability to collect claims data from several Florida HMOs and insurance companies. The result has been a website that hasn't attracted much use, getting 42,779 hits since it was launched in November 2017. The highest number of hits in any month since it was launched was 3,968 in October.
“At the end of the day, I came in, not much had really been done or enough had been done,” DeSantis said.
He referred to the Florida HealthPriceFinder website in his State of the State address, which he delivered to the Legislature on Tuesday, the opening day of the 2019 session. DeSantis said he has instructed Agency for Health Care Administration Secretary Mary Mayhew to “expedite” things.
Florida HealthPriceFinder isn't the only existing transparency initiative that the DeSantis administration is tracking. For example, the state has what is known as the “shared savings” initiative for the state employee health-insurance program.
In Broward County last month, DeSantis said he was ordering the Department of Management Services, which administers the employee-insurance program, to advertise the initiative and to “get as many people plugged into that as possible.”
The department signed contracts with two vendors as part of the shared savings initiative: a $3.6 million contract with Healthcare Bluebook, of which $700,000 has been paid, and a $4.2 million contract with Employer Direct Healthcare, of which about $113,000 has been paid.
The initiative allows state employees to go to either vendor and shop to see if incentives are offered on health care services they might need. State employees receive rewards after the services have been delivered and the claims paid.
The program became available to state employees on Jan. 1. Department of Management Services spokesman McKinley Lewis said that as of Thursday, rewards totaling $125 had been awarded to two state employees.
DeSantis would like to see a similar program offered in the regular commercial insurance market.
Meanwhile, a House panel on Thursday approved a proposal (HB 999), filed by Rep. Jackie Toledo, R-Tampa, that targets hospitals, which are ground zero for House Speaker Jose Oliva's war on health costs.
The legislation would require hospitals to provide every patient a pretreatment estimate of the costs of care. Furthermore, the bill would limit hospitals from exceeding the estimate by more than 10 percent.
Hospitals already are required to offer patients a cost estimate, but they only do it when asked, and right now patients aren't requesting estimates, according to state officials.
David Ashburn, a Greenberg Traurig attorney who represents the Florida Hospital Association, told lawmakers the practical effects of Toledo's legislation would actually increase health costs because hospitals would be asked to “staff up to provide an estimate in every case for every patient.”
Moreover, Ashburn said hospitals would be required to provide an estimate for each recommended course of treatment for a patient.
“You may have multiple estimates that are continually provided throughout the stay. Our concern is that the administrative burden associated with requiring this in all circumstances could be vast,” he said.
The bill cleared the panel by a 15-1 vote.
Toledo told The News Service of Florida after the meeting that estimates will be good for consumers and help foster a more competitive market.
“I think if it raises costs, it will raise it insignificantly,” she said.
Christine Sexton reports for the News Service of Florida.
This content has been archived. It is available through our partners, LexisNexis® and Bloomberg Law.
To view this content, please continue to their sites.
Not a Lexis Subscriber?
Subscribe Now
Not a Bloomberg Law Subscriber?
Subscribe Now
NOT FOR REPRINT
© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.
You Might Like
View AllFla.'s Statute of Limitations and Statutes of Repose in Med Mal Cases: It's Not Over Until It's Over
6 minute readGC of Florida State Agency Steps Down After Threatening TV Stations That Aired Abortion-Rights Ad
Trending Stories
- 1Supreme Court Will Review Constitutionality Of FCC's Universal Service Fund
- 2'It Refreshes Me': King & Spalding Privacy Leader Doubles as Equestrian Champ
- 3Class Action Filed Against Houston Health Savings Account Firm for Allegedly Confiscating Client Funds
- 4These 2 Lawyers Just Became Florida Judges
- 5'Disease-Causing Bacteria': Colgate and Tom’s of Maine Face Toothpaste Class Action
Who Got The Work
Michael G. Bongiorno, Andrew Scott Dulberg and Elizabeth E. Driscoll from Wilmer Cutler Pickering Hale and Dorr have stepped in to represent Symbotic Inc., an A.I.-enabled technology platform that focuses on increasing supply chain efficiency, and other defendants in a pending shareholder derivative lawsuit. The case, filed Oct. 2 in Massachusetts District Court by the Brown Law Firm on behalf of Stephen Austen, accuses certain officers and directors of misleading investors in regard to Symbotic's potential for margin growth by failing to disclose that the company was not equipped to timely deploy its systems or manage expenses through project delays. The case, assigned to U.S. District Judge Nathaniel M. Gorton, is 1:24-cv-12522, Austen v. Cohen et al.
Who Got The Work
Edmund Polubinski and Marie Killmond of Davis Polk & Wardwell have entered appearances for data platform software development company MongoDB and other defendants in a pending shareholder derivative lawsuit. The action, filed Oct. 7 in New York Southern District Court by the Brown Law Firm, accuses the company's directors and/or officers of falsely expressing confidence in the company’s restructuring of its sales incentive plan and downplaying the severity of decreases in its upfront commitments. The case is 1:24-cv-07594, Roy v. Ittycheria et al.
Who Got The Work
Amy O. Bruchs and Kurt F. Ellison of Michael Best & Friedrich have entered appearances for Epic Systems Corp. in a pending employment discrimination lawsuit. The suit was filed Sept. 7 in Wisconsin Western District Court by Levine Eisberner LLC and Siri & Glimstad on behalf of a project manager who claims that he was wrongfully terminated after applying for a religious exemption to the defendant's COVID-19 vaccine mandate. The case, assigned to U.S. Magistrate Judge Anita Marie Boor, is 3:24-cv-00630, Secker, Nathan v. Epic Systems Corporation.
Who Got The Work
David X. Sullivan, Thomas J. Finn and Gregory A. Hall from McCarter & English have entered appearances for Sunrun Installation Services in a pending civil rights lawsuit. The complaint was filed Sept. 4 in Connecticut District Court by attorney Robert M. Berke on behalf of former employee George Edward Steins, who was arrested and charged with employing an unregistered home improvement salesperson. The complaint alleges that had Sunrun informed the Connecticut Department of Consumer Protection that the plaintiff's employment had ended in 2017 and that he no longer held Sunrun's home improvement contractor license, he would not have been hit with charges, which were dismissed in May 2024. The case, assigned to U.S. District Judge Jeffrey A. Meyer, is 3:24-cv-01423, Steins v. Sunrun, Inc. et al.
Who Got The Work
Greenberg Traurig shareholder Joshua L. Raskin has entered an appearance for boohoo.com UK Ltd. in a pending patent infringement lawsuit. The suit, filed Sept. 3 in Texas Eastern District Court by Rozier Hardt McDonough on behalf of Alto Dynamics, asserts five patents related to an online shopping platform. The case, assigned to U.S. District Judge Rodney Gilstrap, is 2:24-cv-00719, Alto Dynamics, LLC v. boohoo.com UK Limited.
Featured Firms
Law Offices of Gary Martin Hays & Associates, P.C.
(470) 294-1674
Law Offices of Mark E. Salomone
(857) 444-6468
Smith & Hassler
(713) 739-1250