Governor's Health Authority aims to improve Nevada's healthcare competition and access

The Nevada Public Employees Benefits Program (PEBP) Board is poised for significant changes aimed at enhancing healthcare access and competition in the state, as discussed in a recent meeting on March 7, 2025. The meeting highlighted the need for innovative strategies to address the challenges faced by the PEBP and the broader healthcare landscape in Nevada.

Key discussions centered around the limited capacity of the PEBP staff and the necessity for collaboration with other state agencies, particularly Medicaid. The goal is to explore new models and options that could improve healthcare delivery without drastically altering the existing structure. The board emphasized the importance of open dialogue with stakeholders, including plans for town halls and listening sessions to gather input from the community.

Nevada continues to grapple with rising healthcare costs, ranking among the fastest-growing states in this regard. Currently, one in three Nevadans is covered through state programs, including Medicaid and the employee benefits program. The meeting underscored the urgency of addressing the professional shortage in healthcare providers and the need for a more competitive environment to secure better deals for state employees and taxpayers.

The proposed establishment of a new Health Authority aims to streamline operations and improve coordination among various healthcare services. This authority will focus on enhancing provider networks, ensuring fair treatment of providers, and leveraging data to negotiate better coverage options. The initiative also includes the creation of an all-payers claims database to provide transparency in healthcare pricing and outcomes.

Additionally, the board discussed potential changes in pharmacy purchasing strategies, including the possibility of a single pharmacy benefit manager (PBM) to achieve cost savings. These changes would be subject to board approval and are intended to benefit both Medicaid and PEBP participants.

As the state moves forward with these initiatives, the emphasis remains on collaboration and strategic planning to improve healthcare access and quality for all Nevadans. The PEBP Board is committed to working together with various stakeholders to ensure that the healthcare system evolves to meet the needs of the community effectively.