Meetings and materials

Find Health Care Cost Transparency Board (Cost Board) and advisory committee meeting information, including login details, recordings, and materials.

Learn more about the Health Care Cost Transparency Board!

To learn more about our advisory committees, visit the Health Care Stakeholders Advisory Committee, Advisory Committee on Data Issues, and Advisory Committee on Primary Care pages.

Public comment

All Health Care Cost Transparency Board meetings are public meetings, and members of the public are welcome and encouraged to share their input. All feedback is shared with board members.

Share your input

  • During a board meeting, there is a designated time for public comment. To provide public comment during the designated public comment period, please use the raise hand function in Zoom or raise your hand if you are attending in person.
  • By contacting us at any time. If you want your written comments to be included in an upcoming meeting, email your comments to us 10 days before that meeting occurs.

Upcoming meetings

View our meeting schedule for 2025.  

Health Care Cost Transparency Board
The Health Care Cost Transparency Board will meet next in 2025.
Health Care Stakeholders Advisory Committee
The Health Care Stakeholders Advisory Committee will meet next in 2025. 
Advisory Committee on Data Issues
The Advisory Committee on Data Issues will meet next in 2025.
Advisory Committee on Primary Care
The Advisory Committee on Primary Care will meet next in 2025.
Nominating Committee

The Nominating Committee will meet next when the board is considering new advisory committee members.

Hybrid meetings

All board meetings are hybrid. This means attendees may either:

  • Log into the Zoom meeting.
  • Attend in person to view and participate in the Zoom meeting at the Health Care Authority (HCA).

Location and directions

Washington State Health Care Authority
Cherry Street Plaza
Sue Crystal Center, Conference Rooms 106A and 106B
626 8th Ave. SE
Olympia, WA 98501

Visitor map with parking instructions

Need an accommodation?

All meetings sponsored by the Health Care Authority meet Americans with Disabilities Act (ADA) requirements. To request an accommodation, call 360-725-9400 (TRS: 711).

Past meetings

2024

Health Care Cost Transparency Board

Date Location Topics Materials

Public Hearing

December 12

This meeting was held on Zoom and at HCA
  • Washington’s established health care cost growth benchmark.
  • Health care spending data and benchmark performance through 2022. 
  • Panel presentations focused on consumers, health plans and providers, and business and labor representatives.
November 7 This meeting was held on Zoom and at HCA
  • Best practices from other state cost boards, including comprehensive data collection, compliance mechanisms, market oversight authority, price regulation authority, and adequate funding via sustainable funding mechanisms.  
  • Model policy to address consolidation and closures in health care and consider potential recommendations for health care market oversight and transparency. 
  • Review spending trends in Washington state from 2010-2022. Review a summary of work to date on facility fees.
  • Vote on the Cost Board’s final draft 2024 Legislative Report. 
October 24 This meeting was canceled    
September 19 This meeting was held on Zoom and at HCA
  • Update from the Advisory Committee on Primary Care
  • Facility fees
    • Recap and follow-up presentation
    • Massachusetts Health Policy Commission’s site-based neutral recommendations
    • Discussion and vote
  • Office of Insurance Commissioner (OIC) final Affordability Report
July 30 This meeting was held on Zoom and at HCA
  • Facility fees panel
    • National perspective with Q&A
    • Provider perspective with Q&A
  • Potential recommendations for facility fees
May 15
 
This meeting was held on Zoom and at HCA
  • Presentations on:
    • Financial analysis of Washington hospitals
    • Business oversight: mergers and acquisitions, private equity investments, provider ownerships and closures
    • Facility fees
    • Consumer medical debt
  • Update from the Analytic Support Initiative (ASI)
April 10 This meeting was held on Zoom and at HCA
  • Legislative updates
  • Presentation: medical debt in America
  • Discussion and strategy of policy selections from the Cost Board retreat
Board retreat
February 9
This meeting was held on Zoom and at HCA
  • Affordability presentations from the Office of Insurance Commissioner (OIC) and Attorney General's Office
  • Presentations from Cost Boards in other states, including Oregon, Rhode Island, and Massachusetts
  • Priorities for 2024

Health Care Stakeholders Advisory Committee

Date Location Topics Materials

November 20

Joint meeting with the Advisory Committee on Data Issues

The meeting was held on Zoom and in-person at HCA
  • Panel on the impact of medical debt on consumers and consider policy options to address that debt.
  • Review spending trends in Washington state from 2010-2022.
Thursday, October 24 This meeting was canceled    

August 21

 

The meeting was held on Zoom and in-person at HCA
  • Overview of medical debt
  • State protections against medical debt
  • Initial discussion on medical debt policy prioritization 

June 12

Joint meeting with the Advisory Committee on Data Issues

The meeting was held on Zoom and in-person at HCA
  • Welcome new committee chair and new committee members
  • Review charter
  • Policy discussion on medical debt
  • Review of May Cost Board meeting and 2024 workplan
  • Analytic Support Initiative (ASI) disease expenditure report & discussion
  • Update on provider reporting and methodologies

March 7

Joint meeting with the Advisory Committee on Data Issues

The meeting was held on Zoom and in-person at HCA
  • Legislative updates
  • Cost Board workplan and discussion
  • 2024 Data Call

January 18

Joint meeting with the Advisory Committee on Data Issues

The meeting was held on Zoom and in-person at HCA
  • Making Care Primary: next steps and implications
  • Policies and strategies to reach the 12% primary care expenditure target
  • Presentations on workforce development.

Advisory Committee on Data Issues

Date Location Topics Materials

November 20

Joint meeting with the Health Care Stakeholders Advisory Committee

The meeting was held on Zoom and in-person at HCA
  • Review spending trends in Washington state from 2010-2022.
  • Presentation from the Department of Health on the data reports they receive from hospitals.
  • Discussion on opportunities to improve the efficiency and transparency of all hospital reporting.
October 24 This meeting was canceled    

August 21

 

The meeting was held on Zoom and in-person at HCA
  • State agencies report on health care business oversight
  • Initial discussion on additional data sources supporting Cost Board efforts
  • View the meeting materials for this meeting

June 12

Joint meeting with the Health Care Stakeholders Advisory Committee

The meeting was held on Zoom and in-person at HCA
  • Review of May Cost Board meeting and 2024 workplan
  • Analytic Support Initiative (ASI) disease expenditure report & discussion
  • Update on provider reporting and methodologies
  • Welcome new committee chair
  • Data sources for facility fees
  • Data sources for business oversight

March 7

Joint meeting with the Health Care Stakeholders Advisory Committee

The meeting was held on Zoom and in-person at HCA
  • Legislative updates
  • Cost Board workplan and discussion
  • 2024 Data Call

January 18

Joint meeting with the Advisory Committee on Data Issues

The meeting was held on Zoom and in-person at HCA
  • Making Care Primary: next steps and implications
  • Policies and strategies to reach the 12% primary care expenditure target
  • Presentations on workforce development.

Advisory Committee on Primary Care

Date Location Topics Materials
June 26 This meeting was held on Zoom and at HCA
  • Discuss policies and strategies to reach the 12% primary care expenditure target
  • Discuss and vote on policy modifications and final language
  • Vote on recommendation package for submission to the Cost Board
May 30 This meeting was held on Zoom and at HCA
  • Potential policy recommendation on strategies for increasing the primary care expenditure ratio
  • Advisory Committee on Primary Care wrap up for 2024 
  • Next steps for the Advisory Committee on Primary Care
April 25 This meeting was held on Zoom and at HCA
  • Timeline and voting for policy primary care recommendations
  • Policy recommendations:
    • Patient engagement: issues, background, and recent developments
    • Measuring primary care expenditure targets on a per-member-per-month (PMPM) basis
  • Engaging patients through shared decision making in Washington State
March 28 This meeting was cancelled.    
February 29 This meeting was held on Zoom and at HCA
  • Workforce development (committee members will be voting whether to bring these policy recommendations to the Cost Board)
  • Aligning primary care and public health to advance prevention and whole person care in Washington
  • Multi-payer collaborative alignment
  • Primary Care Transformation Model
January 23 This meeting was held on Zoom and at HCA
  • Making Care Primary: next steps and implications
  • Policies and strategies to reach the 12% primary care expenditure target
  • Presentations on workforce development.
Meeting materials (01/23/2024) Watch the meeting (01/23/2024) View the meeting summary (01/23/2024)

Nominating Committee

Date Location Topics Materials
July 17 This meeting was held on Zoom and at HCA
  • Nominations review
April 23 This meeting was held on Zoom and at HCA
  • Committee charter
  • HB 1508 updates
  • Recruitment strategies and committee applications
2023
Meeting Date Location Topics Materials
Health Care Cost Transparency Board December 7, 2023 This meeting was held on Zoom and at HCA
  • Analytic support initiative (ASI)
  • Benchmark and analytic status report
Advisory Committee of Health Care Providers and Carriers December 5, 2023 This meeting was cancelled.

 

 
Advisory Committee on Primary Care November 28, 2023 This meeting was held on Zoom and at HCA
  • Approaches to primary care investment in Rhode Island. Code-level definition data analysis. 
  • The Centers for Medicare & Medicaid Service’s (CMS) Making Care Primary (MCP) initiative
Advisory Committee on Primary Care October 26, 2023 This meeting was held on Zoom and at HCA
  • Approaches to primary care investment in Rhode Island
  • Code-level definition data analysis. This discussion will also include committee voting
  • The Centers for Medicare & Medicaid Service’s (CMS) Making Care Primary (MCP) initiative
Health Care Cost Transparency Board October 18, 2023 This meeting was held on Zoom and at HCA
  • Statewide affordability efforts
  • Analytics Support Initiative (ASI)
Advisory Committee on Data Issues October 3, 2023 This meeting was held on Zoom and at HCA
  • Washington Hospital Costs, Price, and Profit Analysis: Second Level Analysis
  • Analytic Support Initiative (ASI)
  • Advisory Committee on Primary Care recommendation on Non-Claims Based Measurement
Advisory Committee on Primary Care September 28, 2023 This meeting was held on Zoom and at HCA
  • Centers for Medicare & Medicaid Services’ (CMS) Making Care Primary (MCP) initiative
  • Primary care data collection and reporting
Advisory Committee of Health Care Providers and Carriers September 7, 2023 This meeting was held on Zoom and at HCA
  • Making Care Primary (MCP) initiative
  • Washington State health care affordability activities
Advisory Committee on Primary Care August 31, 2023 This meeting was held on Zoom and at HCA
  • Primary care payment reform strategies in Oregon
  • Primary care payment policy context
  • United Healthcare’s plan perspective reaching the primary care spending target in Rhode Island
Advisory Committee on Primary Care July 25, 2023 This meeting was held on Zoom and at HCA
  • Policies to support achievement of the 12 percent primary care expenditure target
Health Care Cost Transparency Board July 18, 2023 This meeting was cancelled    
Advisory Committee on Primary Care June 28, 2023 This meeting was held on Zoom and at HCA
  • Committee's charge to identify data collection barriers and propose solutions
  • Finalization of primary care codes
  • Preparation for July primary care committee meeting and discussion of policy recommendation framework
Health Care Cost Transparency Board June 21, 2023 This meeting was held on Zoom and at HCA
  • Analytic support initiative (ASI) presentation
  • Primary care claims-based measurement recommendations, discussion, and vote

Advisory Committee of Health Care Providers and Carriers

Advisory Committee on Data Issues

June 6, 2023 The meeting was held on Zoom
  • Presentation on primary care claims-based measurement recommendation
  • Analytic Support Initiative (ASI) presentation
  • Cost growth driver study phase two
Advisory Committee on Primary Care May 25, 2023 This meeting was held on Zoom and at HCA
  • Defining non-claims based primary care spending
  • Oregon's approach to measuring non-claims based payments
Health Care Cost Transparency Board May 17, 2023 This meeting was cancelled    
Advisory Committee on Primary Care April 27, 2023 This meeting was held on Zoom
  • Amendment to definition of primary care
  • Data to support primary care
  • Policies to increase and support primary care
Health Care Cost Transparency Board April 19, 2023 This meeting was held on Zoom
  • Claims-based measurements from the Advisory Committee on Primary Care
  • Second-level analysis methodology for the Washington hospital costs, price, and profit analysis
  • Historical review of the data collected and the methodology for the benchmark
  • Updates to the 2023 benchmark data call
Advisory Committee on Data Issues April 4, 2023 This meeting was held on Zoom
  • Evaluating hospital costs
  • Benchmark data submissions
  • Cost growth driver study
Advisory Committee on Primary Care March 30, 2023 This meeting was held on Zoom
  • Committee’s progress to date
  • A review of previously discussed goals
  • Code level discussion of primary care services
Advisory Committee of Health Care Providers and Carriers March 7, 2023 This meeting was cancelled.    
Advisory Committee on Primary Care February 23, 2023 This meeting was held on Zoom
  • Discussion on providers, facilities, and primary care services
Health Care Cost Transparency Board February 15, 2023 This meeting was held on Zoom
  • Analysis of Cascade Select (Washington's public option)
  • Recommendations from the Advisory Committee on Primary Care
  • Impact of inflation on health care spending and implications for the cost growth benchmark
  • Cost growth driver analysis

Advisory Committee of Health Care Providers and Carriers

Advisory Committee on Data Issues

February 7, 2023 The meeting was held on Zoom
  • Preliminary findings of the 2022 Cost Growth Drivers Survey
  • Recommendations from the Advisory Committee on Primary Care on the Primary Care Transformation Model (PCTM)
Advisory Committee on Primary Care January 31, 2023 This meeting was held on Zoom
  • Discussion on primary care providers and facilities
2022
Meeting Date Location Materials
Health Care Cost Transparency Board December 14, 2022 This meeting was held on Zoom
Advisory Committee of Health Care Providers and Carriers December 1, 2022 The meeting was held on Zoom
Advisory Committee on Primary Care November 21, 2022 The meeting was held on Zoom
Health Care Cost Transparency Board November 16, 2022 This meeting was held on Zoom
Advisory Committee on Data Issues November 1, 2022 This meeting was held on Zoom
Advisory Committee on Primary Care October 25, 2022 The meeting was held on Zoom
Health Care Cost Transparency Board October 19, 2022 This meeting was held on Zoom
Advisory Committee of Health Care Providers and Carriers October 5, 2022 This meeting was cancelled.  
Advisory Committee on Primary Care September 28, 2022 The meeting was held on Zoom
Health Care Cost Transparency Board September 21, 2022 This meeting was held on Zoom
Advisory Committee on Data Issues September 8, 2022 This meeting was held on Zoom
Health Care Cost Transparency Board August 17, 2022 This meeting was held on Zoom
Advisory Committee of Health Care Providers and Carriers August 3, 2022 The meeting was held on Zoom
Health Care Cost Transparency Board July 20, 2022 This meeting was held on Zoom
Health Care Cost Transparency Board June 15, 2022 The meeting was held on Zoom
Advisory Committee on Data Issues July 8, 2022 This meeting was canceled This meeting was canceled to allow additional time for staff to work on the implementation of the Cost Driver Analysis.
Advisory Committee of Health Care Providers and Carriers June 2, 2022 The meeting was held on Zoom
Health Care Cost Transparency Board May 18, 2022 The meeting was held on Zoom
Advisory Committee on Data Issues May 5, 2022 This meeting was held on Zoom
Health Care Cost Transparency Board April 20, 2022 The meeting was held on Zoom
Advisory Committee of Health Care Providers and Carriers April 6, 2022 The meeting was held on Zoom
Health Care Cost Transparency Board March 16, 2022 The meeting was held on Zoom
Advisory Committee on Data Issues March 1, 2022 The meeting was held on Zoom
Health Care Cost Transparency Board February 16, 2022 The meeting was held on Zoom
Advisory Committee of Health Care Providers and Carriers February 1, 2022 The meeting was held on Zoom
Advisory Committee on Data Issues January 31, 2022 The meeting was held on Zoom
Health Care Cost Transparency Board January 19, 2022 The meeting was held on Zoom
2021
Meeting Date Location Materials
Health Care Cost Transparency Board December 15, 2021 The meeting was held on Zoom
Health Care Cost Transparency Board November 17, 2021 This meeting was held on Zoom
Advisory Committee on Data Issues October 28, 2021 The meeting was held on Zoom
Health Care Cost Transparency Board October 14, 2021 This board meeting was cancelled The meeting was canceled to allow additional time for staff to work with the Advisory Committee on Data Issues on recommendations related to the benchmark data call. The board will meet again in November.
Advisory Committee of Health Care Providers and Carriers September 30, 2021 The meeting was held on Zoom
Health Care Cost Transparency Board September 14, 2021 The meeting was held on Zoom
Advisory Committee on Data Issues September 8, 2021 The meeting was held on Zoom
Health Care Cost Transparency Board August 17, 2021 The meeting was held on Zoom
Advisory Committee on Data Issues August 10, 2021 The meeting was held on Zoom
Advisory Committee of Health Care Providers and Carriers July 29, 2021 The meeting was held on Zoom
Health Care Cost Transparency Board July 19, 2021 The meeting was held on Zoom
Advisory Committee on Data Issues July 8, 2021 The meeting was held on Zoom
Advisory Committee of Health Care Providers and Carriers June 29, 2021 The meeting was held on Zoom
Health Care Cost Transparency Board

June 16, 2021

The meeting was held on Zoom

Advisory Committee of Health Care Providers and Carriers May 25, 2021 The meeting was held on Zoom
Health Care Cost Transparency Board

May 13, 2021

The meeting was held on Zoom

Advisory Committee of Health Care Providers and Carriers

April 27, 2021

The meeting was held on Zoom

Health Care Cost Transparency Board

April 13, 2021

The meeting was held on Zoom

Health Care Cost Transparency Board

March 15, 2021

The meeting was held on Zoom

Health Care Cost Transparency Board

February 18, 2021

The meeting was held on Zoom