Reports from the Design Process to Be Released Soon
In 2021, the NM Office of Superintendent of Insurance contracted with various expert consultants to undertake research that will help New Mexicans make informed decisions about different aspects of the Health Security Plan. Reports were due December 31, 2021, and we expect the Superintendent to release them to the public soon.
Research so far has centered on provider payment methodologies, global budgets for hospitals, and federal laws and waivers applicable to the Health Security Plan.
This is just initial research—much more research and analysis needs to be done before the Plan can be designed!
Design Process Series
The next installment in our Health Security Plan Design series will be held after the session is over.
In the meantime, check out the recordings of our earlier meetings:
Update from Superintendent Russell Toal (Oct. 19, 2021)
Walking the Reimbursement Maze: Provider Perspectives (Dec. 11, 2021)
National News: Help Arrives on Surprise Billing
The new year brought implementation of a new federal law to protect patients from hospital surprise billing—what happens when an insured patient goes to an in-network hospital but is treated by an out-of-network provider, who then sends the patient a much larger bill than expected. The No Surprises Act is intended to fix this. Read or listen to an interview with Kaiser Health News reporter Julie Appleby on how the No Surprises Act works.
Interim fixes to our current health care system are very important while the Health Security Plan design process moves forward. Ultimately the Health Security Plan—a systemic solution—is what is required to address our ever-growing healthcare crisis.