1. FINDINGS FROM ATTORNEY GENERALS EXAMINATIONS OF HEALTH CARE COST TRENDS AND COST DRIVERS PURSUANT TO G.L. c. 118G, § 6½(b) OFFICE OF ATTORNEY GENERAL MARTHA COAKLEY ONE ASHBURTON PLACE BOSTON, MA 02108 February 13, 2012

2. Massachusetts: Health Care Reform YearMassachusetts Health Care ReformFederal Reform 1990sInsurance Market Reforms Guaranteed Issue Modified Community Rating Pre-existing Condition Limitations 2006Expansion of Insurance Coverage Individual Mandate Employer responsibility Medicaid Expansion Insurance exchange (Connector) 2008Chapter 305 – Cost Containment I AG Authority to Examine Cost Trends 2010Chapter 288 – Cost Containment II Transparency, Rate review, and Tiered Products 22/13/2012

3. EXAMINATION APPROACH We issued dozens of subpoenas for data, documents, and testimony to major health plans and many different types of providers. We conducted dozens of interviews and meetings with providers, insurers, health care experts, consumer advocates, employers, and other key stakeholders. We engaged experts with extensive experience in the Massachusetts health care market. We greatly appreciate the courtesy and cooperation of payers and providers who provided information for these examinations. 32/13/2012

4. MEASURING HEALTH CARE COSTS TOTAL MEDICAL EXPENSES (TME): The total cost of all the care that a patient receives, including the payments by the health plan for the care of the patient, and any copayment or deductible for which the patient is responsible. TME reflects both price of services and volume of services. PRICE: The contractually negotiated amount that an insurance company pays a health care provider for providing health care services; we reviewed relative price information, which shows the prices paid by health plans to providers for all services in aggregate as compared to other providers in the health plan network. 42/13/2012

5. 2010 and 2011 EXAMINATION HIGHLIGHTS 1.Prices paid by health insurers to hospitals and physician groups vary significantly. 2.Variations in prices are not adequately explained by value-based differences in the services provided. 3.Variations in prices are correlated to provider and insurer market leverage. 4.Global budgets vary significantly and globally paid providers do not have consistently lower TME. 5.Variations in prices impact the increase in overall health care costs. 52/13/2012

6. HIGHER PRICES ARE NOT TIED TO INCREASED COMPLEXITY OF SERVICES HIGHER PRICES ARE NOT TIED TO TEACHING STATUS 6

7. DIFFERENCES IN PRICES ARE NOT ADEQUATELY EXPLAINED BY VALUE-BASED FACTORS 72/13/2012

8. HIGHER PRICES ARE EXPLAINED BY MARKET LEVERAGE 82/13/2012

9. HospitalCommercial Payer Margin Government Payer Margin Other Margin Academic Medical Center 1 3.7%-3%-20.1% Academic Medical Center 2 15%-6.9%-7.6% Academic Medical Center 3 21.4%-33%-10.7 9 TESTIMONY IN DHCFP HEARINGS SHOW SIGNIFICANT DIFFERENCES IN HOSPITAL REPORTED MARGINS [U]nusually high hospital margins on private-payor patients can lead to more construction, higher hospital cost, and lower Medicare margins. The data suggest that when non-Medicare margins are high, hospitals face less pressure to constrain costs, costs rise, and Medicare margins tend to be low. - MedPAC, Report to Congress, March 2009, page xiv. 2/13/2012

10. VARIATIONS IN PRICES PAID TO PROVIDERS EXIST IN GLOBAL RISK BUDGETS AS WELL AS IN FEE-FOR-SERVICE ARRANGEMENTS We found wide variations in the health status adjusted global payments made by health plans to at-risk providers. For example, in one health plans network in 2009, one globally paid provider had a health status adjusted budget of approximately $428 per member, per month, while another had a health status adjusted budget of only $276 per member per month. 102/13/2012

11. GLOBALLY PAID PROVIDERS DO NOT HAVE CONSISTENTLY LOWER TOTAL MEDICAL EXPENSES 112/13/2012

12. PRICE INCREASES CAUSED THE MAJORITY OF THE INCREASES IN HEALTH CARE COSTS IN THE LAST SIX YEARS 122/13/2012

13. TOTAL MEDICAL SPENDING IS HIGHER FOR THE CARE OF COMMERCIAL PATIENTS FROM HIGHER-INCOME COMMUNITIES 132/13/2012

14. TIERED AND LIMITED NETWORK PRODUCTS HAVE INCREASED CONSUMER ENGAGEMENT IN VALUE-BASED PURCHASING Health insurance products that do not differentiate among providers based on value do not give consumers an incentive to seek out more efficient providers, because consumers are not rewarded with the cost savings associated with that choice. As a result: (1) consumers are de-sensitized from value-based purchasing decisions and (2) providers are not rewarded for competing on value. There have been recent developments in tiered and limited network products; these types of innovative products should be encouraged. 142/13/2012

15. 1.Price transparency and consumer health care literacy: consumers should be able to get accurate information on coverage and costs from both providers and health plans. 2.Ensure a more effective and competitive market: employers and consumers should have viable competitive options for health care coverage and delivery. 3.Balanced approach to address historic market disparities: we need to set goals to control future growth and to reduce unwarranted price variations, and we should give the market time to meet those goals before temporary market corrections are made. Three Pillars to Shore Up the Market 152/13/2012

16. RESOURCES & CONTACT INFORMATION 16 Report of MA Attorney Generals Examination of Health Care Cost Trends and Cost Drivers: http://www.mass.gov/Cago/docs/healthcare/final_report_w_cover_append ices_glossary.pdf MA legislation (Chapter 288 of Acts of 2010) to control costs and increase transparency in health care market: http://www.malegislature.gov/Laws/SessionLaws/Acts/2010/Chapter288 MA Division of Health Care Finance and Policy cost trend hearing materials: http://www.mass.gov/dhcfp/costtrends 2/13/2012