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Covered California May Block ‘Outlier’ Hospitals From Health Plans
Health Leaders Media

Plan would weed out high-cost, low-performing hospitals Covered California officials are considering a plan to eliminate underperforming and high-priced hospitals from health plans through a new policy that would go into effect in 2019.

The policy, which could be considered by the Covered California board as early as June, would establish quality and cost standards that would weed out ‘outlier’ hospitals that don’t meet minimum benchmarks. The plan has raised concerns among groups representing health plans and hospitals who question how the standards would be developed.

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