NEW YORK HEALTH PLAN ASSOCIATION INC

Conducts advocacy focused on unjustified annual price increases by pharmaceutical manufacturers, highlighting that these hikes occur without corresponding improvements in clinical effectiveness and significantly contribute to rising health insurance premiums.

Organizes an annual conference that brings together over 350 managed care professionals, executives, and health care leaders to discuss industry trends, innovation in care delivery, federal policy impacts, and strategies to address inequities in care.

Represents managed care health plans across New York State through trade association activities, including advocacy before state and federal policymakers to influence health care regulation and policy. The organization serves as a unified voice for member health plans covering millions of New Yorkers.

Provides support to member health plans to enhance their ability to deliver targeted programs addressing the unique health needs of their members and improving community care systems.

Reports and analyzes state-level health care spending data, emphasizing that per capita spending in New York is 37% above the national average, hospital spending grew by 10.4% in 2023, and taxes on health insurance exceed $6.5 billion annually—increasing costs for families by over $1,000 on average.

Publishes fact sheets explaining how health plans use tools like prior authorization and fraud detection systems to ensure safe, evidence-based, and affordable care while protecting public programs such as Medicaid from waste and abuse.

Produces and disseminates policy briefs and research reports analyzing drivers of rising health care costs and their impact on insurance premiums, including a publication titled "Health Insurance 101: Understanding Health Care Premiums." This work includes data analysis from sources such as the Centers for Medicare & Medicaid Services.