Washington is working to lower health care costs and increase transparency. This new resource explains how. 

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Washington is working to lower health care costs and increase transparency. This new resource explains how. 

The Health Care Authority (HCA), which oversees and supports the Health Care Cost Transparency Board, just released a frequently asked questions (FAQ) resource. This FAQ provides a high-level and more simplified look at:

  • The board
  • The Data Issues and Health Care Providers and Carriers advisory committees
  • The health care cost benchmark and how it works
  • How our state, health insurance carriers, and health care providers are held accountable to lowering costs
  • How Washington and other states are moving toward lowering health care costs

View the FAQ.

Other updates

Beginning this year, health insurance carriers are responsible for staying at or under the benchmark. The board will soon be asking carriers to provide “pre-benchmark” performance data on total health care spending for 2017, 2018, and 2019. This data will help the board establish a baseline for measuring future cost growth in spending.

In 2023, carriers will provide data for the first benchmark year (2022).

The benchmark is a specific rate of growth that carriers and providers should try to stay under to make health care more affordable for patients. The board will compare a carrier’s annual rate of health care spending growth in Washington State against this benchmark:

Table 1: benchmark for 2022–2026

Calendar year

Cost growth benchmark values

2022

3.2%

2023

3.2%

2024

3.0%

2025

3.0%

2026

2.8%

 

To learn more, visit our board page, which includes past announcements.