On Wednesday, the State Health Benefits Commission Plan Design Committee (PDC) held its regularly scheduled meeting.
The PDC members representing labor proposed a resolution to create reference-based pricing (RBP) that would cap payments for all care at 200% of Medicare rates and suggested that the measure could save hundreds of millions of dollars. The proposal met resistance with some PDC members citing issues accessing care, billing issues, legal authority of the PDC and others who wanted to seek more information on the implications of RBP. Ultimately, the proposed RBP resolution did not have enough Committee support, and the measure was unsuccessful.
The State Health Benefits Commission (SHBC) is scheduled to have their rate renewal meeting on July 9, and the next PDC meeting scheduled is July 23.
Contact: Erin Knoedler, Legislative Analyst, eknoedler@njlm.org, x116.