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Health Care Affordability


Health Care Transparency

Issue Summary


New! 2015 Health Care Transparency Update

During the 2015 legislative session, Senators Jerry Ortiz y Pino (D-Abq, Chair of the Senate Public Affairs Committee) and Sander Rue (R-Abq, father of the state’s Sunshine Portal) sponsored Senate Bill 474 to create a website where New Mexicans can easily find information on hospital prices and quality.

After extensive negotiations, the bill was merged with Senate Bill 323, supported by the New Mexico Department of Health and the New Mexico Hospital Association. The Senate Judiciary Substitute for Senate Bills 323 & 474 passed the Senate 6-0 and the House 52-0. It was signed into law by Governor Martinez on April 9, 2015. We are now working to ensure the successful implementation of the health care transparency website.


Background

According to a 2014 study by the nonpartisan Commonwealth Fund, New Mexico ranks last in the nation for health care affordability and access. Employers and families are increasingly shifting to high-deductible insurance plans, and New Mexicans are paying more and more out of pocket for their health care. For example, the Bronze Plan policies available under the Affordable Care Act in New Mexico have deductibles averaging more than $5,000 for individuals and $10,000 for families.

Yet the lack of information on health care cost and quality makes it impossible for New Mexicans to shop around for the most affordable, highest quality care. (Naturally, shopping around only works for non-emergency care, but only about 10% of medical costs are incurred during emergencies.)

In 2014, Think New Mexico launched a new initiative focused on making health care more affordable by increasing transparency and ending price discrimination. Specifically, Think New Mexico recommended that the state create a user-friendly public website that would disclose hospital price and quality information for common medical procedures. (Much of this information is already being reported by hospitals to the New Mexico Department of Health, but it is not available to the public.) Fourteen other states, including Colorado, Arizona, and Utah, have already created health care transparency websites, and another five states are in the process of creating them.

In order to make price transparency possible, Think New Mexico proposes outlawing "gag clauses" in contracts between hospitals and insurers, which currently prohibit either party from revealing the prices they agree to. The state already prohibits insurance contracts from including gag clauses that would silence doctors from telling patients about treatment options that their insurance plans do not cover.

Finally, Think New Mexico recommends ending price discrimination, the situation in which patients at the same hospital receiving the same treatment from the same doctor are charged different prices depending on who is paying the bills. Medicare and Medicaid pay the lowest prices and private insurance companies each negotiate their own rate schedules. Perversely, uninsured patients who are least able to afford it often end up with the highest bills since they have the least negotiating power (although hospitals regularly end up marking down the final charges in charity cases).

Think New Mexico recommends that the state continue to allow hospitals to set their own prices, but require them to charge the same price to every patient for the same procedure, regardless of who is paying the bills. A similar system has successfully helped control health care costs in the state of Maryland since the 1970s.

These reforms have the potential to benefit all stakeholders, from patients and employers to doctors, hospitals, health insurers, and state taxpayers. Because hidden prices and price discrimination create unnecessary complexity, they result in enormous administrative waste in the health care system. About one out of every three dollars spent on health care in the U.S. goes to administration, and excess administrative costs burden consumers, insurers, and health care providers alike. Based on national studies, Think New Mexico estimates that the potential savings to New Mexicans from fully implementing its proposed reforms would be about $1.7 billion annually, or $868 per New Mexican per year.

All of Think New Mexico's health care affordability reforms were endorsed by a 2012 article in the New England Journal of Medicine.

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Get Involved

Contact your Legislators Think New Mexico's legislative successes are due in large part to the grassroots advocacy of our supporters. During the 2010 legislative session, Think New Mexico supporters sent over 15,000 messages to their legislators and the governor urging them not to reimpose a regressive food tax, and as a result, the governor line-item vetoed it and kept food tax-free for New Mexico families. If you would like to assist Think New Mexico in our efforts to improve health care affordability, please call or write your state legislators and urge them to support legislation increasing transparency and ending price discrimination. Ask your legislators to support these reforms.



Contact your Local Media Vocal public support of policy reforms like the ones we have proposed to improve health care affordability is essential to making them a reality. Legislators are attentive and responsive to letters to the editors from their constituents. We encourage you to express your support for this initiative through the media, as well as directly to your representatives. The Media section of Think New Mexico's Action Center provides the names and contact information for your local media, including newspapers, radio stations, and television stations, and you can compose and send any of them an email or letter right from the page.


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Resources & Media


Health Care Transparency Policy Report Read Think New Mexico's policy report on improving health care affordability



Coalition in Support of Think New Mexico's Health Care Affordability Reforms


Read what others are saying about Think New Mexico's health care affordability proposals




Newspaper Articles & Editorials

Read our opinion editorial making the case for health care transparency, which has been published in the Albuquerque Journal, the Carlsbad Current-Argus, the Gallup Independent, the Hobbs News-Sun, the Las Cruces Sun-News, the Las Vegas Optic, the Rio Rancho Observer, the Roswell Daily Record, the Ruidoso News, the Santa Fe New Mexican, the Silver City Sun-News, the Taos News, the Truth or Consequences Herald, the Union County LeaderDecember 2014-February 2015


Read a Santa Fe New Mexican editorial in support of Think New Mexico's health care transparency legislation • February 15, 2015


Read a Las Cruces Sun-News editorial in support of Think New Mexico's health care transparency legislation, which was also published in the Alamogordo Daily News, the Carlsbad Current-Argus, the Roswell Daily Record, the Ruidoso News, and the Silver City Sun-NewsFebruary 2015


Read a Las Vegas Optic editorial in support of Think New Mexico's health care transparency legislation • January 21, 2015


Read a Hobbs News Sun editorial in support of Think New Mexico's health care transparency legislation • January 18, 2015


Read a Rio Grande Sun editorial in support of Think New Mexico's health care affordability initiative, which was also published in the Silver City Daily Press and the Union County LeaderNovember 12, 2014


Read a column on Think New Mexico's health care affordability initiative by syndicated columnist Tom McDonald, which has run in the Clovis News Journal, Las Vegas Optic, Portales News-Tribune, Roswell Daily Record, Silver City Daily Press, and Union County LeaderOctober 25, 2014


Read an Albuquerque Journal column by Dr. Barry Ramo on Think New Mexico's health care affordability initiative • October 25, 2014


Read Albuquerque Journal editorial endorsing Think New Mexico's health care affordability initiative, which also ran in the Mountain View TelegraphOctober 12, 2014


Read Santa Fe New Mexican article about Think New Mexico's new health care affordability initiative • October 5, 2014


Read an Associated Press article about Think New Mexico's new health care affordability initiative, which has been published in the Albuquerque Journal, Artesia Daily Press, Deming Headlight, Farmington Daily Times, Gallup Independent, Hobbs News-Sun, Las Cruces Sun-News, and Las Vegas OpticOctober 7, 2014



Radio and Television

Watch Larry Barker investigate the need for health care transparency on KRQE News 13! • February 24, 2015 (8:48)


Watch an Eye on New Mexico KOB Channel 4 interview with Fred Nathan about Think New Mexico's health care affordability initiative • November 9, 2014 (26:04)


Listen to KRSN 1490 AM Los Alamos interview with Think New Mexico Executive Director Fred Nathan about our health care affordability initiative • October 28, 2014 (mp3, 18:52)


Listen to KSFR 101.1 FM interview with Think New Mexico Executive Director Fred Nathan about our health care affordability initiative • October 15, 2014 (mp3, 51:33)


Listen to KSVP 990 AM radio report on Think New Mexico's new health care affordability initiative • October 10, 2014 (mp3, 18:30)


Listen to KSFR 101.1 FM radio report on the launch of Think New Mexico's new health care affordability initiative • October 7, 2014 (mp3, 5:19)