@BailitHealth

Helping healthcare purchasers and regulators obtain superior performance since 1997

 Needham, MA
bailit-health.com
Joined January 2012
  • Tweets212
  • Following177
  • Followers171
3Media
Bailit Health's issue brief for @commonwealthfnd: Despite strong contracts, Medicaid managed care plans can underperform on finances, quality, or access. It outlines state tools to hold plans accountable, from corrective action plans to sanctions. bit.ly/4hdS8ZI

Strategies for Managing Underperforming Medicaid Plans

Effective state oversight of Medicaid managed care entities requires both a range of contractual levers and staff managing and prioritizing what is most important.

commonwealthfund.org
21
New report from Bailit Health: California is well-positioned to tackle rising health care costs. It proposes ideas to cut red tape, protect patients from medical debt, limit hospital prices, and stop harmful hospital mergers. bit.ly/4gXpHOq#HealthPolicy #California #Hospitals

Policy Options to Improve Health Care Affordability: What California Can Learn from Other States

This issue brief presents policies from other states that California can learn from to address the health care affordability crisis.

chcf.org
13
New op-ed via @cwbeacon: Massachusetts health care costs are outpacing inflation and income growth (@Mass_HPC). Rhode Island's price cap model cut per capita cost growth roughly in half. Michael Bailit and @MassECOH's @emcanneny on the path forward: bit.ly/4wxqwmW

Massachusetts can no longer ignore the health care affordability crisis

Massachusetts must look at how to control hospital costs while maintaining the high-quality care that has long defined our state’s health care system.

commonwealthbeacon.org
16
In 2023, none of 7 states with a health care cost growth target met it. A new Health Affairs piece by Bailit Health argues that’s not failure, it’s a mandate for stronger intervention. Hospitals + Rx drugs = nearly 70% of commercial spending. bit.ly/43GExTa

States Are Exceeding Their Health Care Cost Growth Targets. What Does It Mean? | Health Affairs...

That most states have exceeded their cost growth targets is not evidence that the targets have failed—it is evidence that complementary policies are needed to address the cost drivers that the target...

healthaffairs.org
10
CMS released Evaluation Report 3 for the #InCK Model. Rural IL: 4.8% relative reduction in total cost of care. NC: +2.9% well-child visits. Only 3 of 7 sites were measurable at this stage. Model runs through 2026. bit.ly/4a9b0oO
13
NEW online resource: the State Hub for Hospital Pricing Strategies. Explore six strategies, key policy design decisions, and examples of state implementation—plus modeling/data tools, a curated resource library, and template talking points. hospitalpricingstatehub.org #HealthPolicy

State Hub for Hospital Pricing Strategies

Explore state strategies to address excessive hospital prices, including price caps, growth caps, global budgets, and more. Tools and resources for policymakers.

hospitalpricingstatehub.org
23
Team retreat highlights: volunteering at @communityserv in Jamaica Plain, celebrating four colleagues’ weddings, getting work done, and ending with bowling. Grateful for the time together, and for the chance to give back.
32
Double-digit premium increases are making annual family premiums more than a new compact car. Read how states acted in 2025 to curb hospital prices. bit.ly/2026-0114-affordabili… @commonwealthfnd
11
January 23, 2026 - Senior Managing Director Mary Beth Dyer presents "Medicaid Managed Care in an Era of Medicaid Policy Change" at the Families USA Health Action Conference in Washington, DC bit.ly/register-health-actio… #Medicaid #ManagedCare
30
Even policy people like cookies. Bailit Health wishes you a joyful holiday season and a new year filled with good health, meaningful work, and continued collaboration. #HealthPolicy #StatePolicy #HolidayWishes #NewYear2026
6
Join us Dec 15, 2-3pm ET for a webinar on driving accountability in Medicaid managed care. Learn strategies to maximize performance using our new Oversight Toolkit. Register: bit.ly/44n1dIA Supported by @commonwealthfnd #Medicaid #StatePolicy
19
States need better tools to understand health care cost drivers. Our updated guide with @PetersonCHealth & @MilbankFund offers practical strategies for analyzing claims data to inform policy and control costs. bit.ly/4nOgXv5 #HealthPolicy #HealthcareCosts
16
“Ensuring State Health Care Affordability Strategies Work for All,” authored for @MilbankFund. Four levers for states: (1) embed equity in cost‐growth targets (2) equitable price oversight (3) consumer relief on costs/debt (4) adequate Medicaid rates. bit.ly/4oPY0t7

Ensuring State Health Care Affordability Strategies Work for All | Milbank Memorial Fund

This post describes ways states can safeguard and promote health equity alongside their efforts to make health care more affordable, particularly for those who bear the greatest burden of high and...

milbank.org
11
New: Bailit Health’s Medicaid Managed Care Oversight Toolkit, authored for State Health & Value Strategies. For states managing complex contracts, the guide strengthens oversight, uses data, and assesses plan performance to improve access & outcomes. More: bit.ly/48UhOa3
9
Reminder: Webinar today 2pm-3pm ET - "Focusing Hospital Affordability Policies on the Haves and Protecting the Have-Nots" bit.ly/4oo4E9O @MilbankFund @PetersonCHealth
17
Join us for a webinar on Oct. 30th at 2-3pm ET, hosted by @MilbankFund to discuss how states can design hospital affordability policies that target highly resourced systems while protecting more vulnerable hospitals. bit.ly/4oo4E9O #HealthPolicy #HospitalAffordability
18
The @commonwealthfnd is now accepting applications for its Hospital Pricing Strategies Technical Assistance Program. States working on hospital pricing policies can receive expert support and join peer learning sessions. Apply by October 27. bit.ly/48TkmVJ #HealthPolicy
11
New report outlines how states can apply hospital affordability policies more precisely, targeting well-resourced systems without harming vulnerable ones. bit.ly/42mm8uC #HealthPolicy #HospitalPricing #Affordability @MilbankFund @PetersonCHealth
4
Bailit Health’s new @HealthAffairs blog examines how vertically integrated insurers may use non-claims payments to meet MLR thresholds without delivering more care. The authors outline emerging concerns and recommend stronger oversight. bit.ly/3IFQDoD #HealthPolicy #MLR

How Insurers That Own Providers Can Game The Medical Loss Ratio Rules | Health Affairs Forefront

As states pursue policies to slow cost growth, they must apply greater scrutiny of vertical integration arrangements—especially around internal financial transactions between affiliated entities.

healthaffairs.org
5
All five cost growth target states missed the mark in 2023. Spending rose across all payers and service types, driven by both price and use. In this Health Affairs blog post, Bailit Health staff break down the findings and highlight what may come next. 🔗 bit.ly/health-cost-growth-ta…

For States With Cost Growth Targets, 2023 Spending Growth Was High Across The Board | Health...

State cost growth targets—when paired with complementary strategies such as site-neutral payment policies, price growth caps, prescription drug price and pharmacy benefit manager oversight, and...

healthaffairs.org
14
Load more