Massachusetts Could Regulate Reimbursement Rates for Physicians, Hospitals

Massachusetts Attorney General Martha Coakley is circulating a proposal to regulate hospitals and physicians and the rates they receive to provide care, according to a Boston Globe report.

Advertisement

According to the report, AG Coakley’s staff has drafted legislation on the plan to contain healthcare spending. Under the new plan, providers and insurers would have to provide price information to patients before they undergo a test or treatment. The Division of Insurance and Department of Public Health would then have the power to limit the prices and market power of providers.

For the past two years, AG Coakley’s staff has found wide disparities in the prices paid to providers that are not based on quality, but on market clout.  

Related Articles on Coding, Billing and Collections:
California Pushes Forward With Health Insurance Exchange
Blue Cross Sues Nebraska Over Improper Lobbying During Health Plan Switch
Fewer Physician Visits Reported in 2011

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Advertisement

Next Up in ASC Coding, Billing & Collections

  • More than 30 ASCs and physician practices have closed in 2026, and the reasons vary from consolidation to competition. Here…

  • Phoenix, Ariz.-based Academic Urology and Urogynecology of Arizona has purchased a 7,593-square-foot medical office building in Phoenix for $2.4 million,…

Advertisement

Comments are closed.