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2025 Pennsylvania Snapshot
The Healthcare Affordability Snapshot provides legislators, consumer advocates, regulators and other stakeholders a tool to compare their state’s health policies across other states. The categories examined in this resource explore a variety of policy options that have previously appeared in the Scorecard, as well as additional policies that impact health care affordability. Policies were selected […]
Read MorePennsylvania
An online survey of more than 1,400 Pennsylvania respondents, weighted to be demographicallybalanced to the state was conducted from July 11 to July 24, 2023, and found that: Altarum’s Consumer Healthcare Experience State Survey (CHESS) is designed to elicit respondents’ unbiased views on a wide range of health system issues, including confidence using the health […]
Read MorePennsylvania
The Health Care Value Hub’s 2026 Health Care Affordability State Policy Snapshot provides legislators, consumer advocates, regulators and other stakeholders with a tool to compare their state’s health policies across other states. The Snapshot explores policies impacting health care affordability across four domains: Policies were selected based on whether they have the potential to impact […]
Read MorePennsylvania Enacts Prescription Drug Coverage Reforms
The Pennsylvania Insurance Department has introduced measures to Wayne Pike News. These reforms are part of the ongoing implementation of the Pharmacy Benefit Manager reform law Act 77 of 2024. Under the new law, the state the state will require more openness from PBMs—intermediaries that negotiate drug prices and set co-pays—includes a new process allowing […]
Read MorePennsylvania Medicaid Covers Doula Services
Pennsylvania has authorized its Medicaid program to provide coverage for doula services, reports Keystone Newsroom. Under House Bill 1608, Medicaid will reimburse certified doulas for providing childbirth education and support services, including physical and emotional support, during pregnancy, labor and delivery and up to one year postpartum. The law also establishes a Doula Advisory Board […]
Read MorePennsylvania Requires Coverage for Cancer Biomarker Testing
Effective January 1, 2025, Pennsylvania requires all state-regulates plans, including Medicaid, to cover biomarker testing under Act 39, reports Philly Voice. Biomarker testing is used to determine the unique makeup of a person’s cancer, which doctors can use to provide tailored care that includes the most effective treatments – sometimes with reduced side effects. Note: […]
Read MorePennsylvania Snapshot 2024
The 2024 Healthcare Affordability Snapshot provides legislators, consumer advocates, regulators and other stakeholders a tool to compare their state’s health policies across other states. The categories examined in this resource explore a variety of policy options that have previously appeared in the Scorecard, as well as additional policies that impact health care affordability. Policies were […]
Read MorePennsylvania Limits Use of Noncompete Clauses for Health Care Practitioners
Pennsylvania has passed legislation limiting the use of noncompete clauses for health care practitioners, reports The National Law Review. Effective January 1, 2025, the Fair Contracting for Health Care Practitioners Act deems noncompete covenants as contrary to the public interest and void and unenforceable. Exceptions include noncompete clauses of less than a year if the practitioner […]
Read MorePennsylvania Limits Cost-Sharing for Cancer Screening
Pennsylvania requires that health plans fully cover preventive cancer screenings for high-risk individuals, according to GoodRx. Under Senate Bill 8, plans must offer no cost-sharing for genetic testing and counseling for hereditary breast cancer, such as cancer linked to BRCA genes, genetic testing for hereditary ovarian cancer and prostate cancer, and supplemental breast screenings for people with […]
Read MorePennsylvania Survey Respondents Worry about High Hospital Costs and Consolidation; Have Difficulty Estimating Cost/Quality of Care; and Express Bipartisan Support for Government Action
Key Findings Hospitals provide essential services and are vital to the well-being of our communities. However, a demographically balanced survey of more than 1,400 Pennsylvania adults, conducted from July 11 to July 24, 2023, found that: Hardship and Worry about Hospital Costs A substantial portion of Pennsylvania respondents worry about affording health care costs both […]
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