HB 2294 Summary

• Requires health plans to report relative prices paid to health care providers to the Arizona Department of Health Services, organized by provider type and health plan product type.

• Health plans must disclose annual price growth rates compared to the producer price index and identify providers paid more or less than 10%, 15%, and 20% above or below average relative prices.

• Mandates health plans using alternative payment contracts (shared savings, bundled payments, global payments) to disclose the relative value of these arrangements to the department.

• Prohibits health plans from providing actual claims information or contract prices; only relative prices may be reported to protect confidentiality.

• Requires the department to issue annual reports on relative prices by health plan and provider type without disclosing actual prices, including analysis of price variation and impact on safety-net providers.