Health Spending Accountability and Transparency Program

The Health Spending Accountability and Transparency Program was created by amendments to OHIC's enabling statute in Article 12 of H-7127 Sub A as amended, effective July 1, 2026. The program has three key goals that are designed to curb health care spending growth:

• Goal 1: Understand and create transparency around health care costs and the drivers of cost growth
• Goal 2: Create shared accountability for health care costs and cost growth among insurers, providers, and government by measuring performance against a cost growth target tied to economic indicators
• Goal 3: Lessen the negative impact of rising health care costs on Rhode Island residents, businesses, and government

The program seeks to achieve these goals by collecting and analyzing health care spending data and utilizing that data to create meaningful actions to slow spending growth. These actions include publication of insurer and large provider entity performance on cost growth relative to a predetermined health care cost growth target. The program also includes an all-payer primary care investment target. Each year OHIC will hold a public hearing.