CT SB01154

Municipalities with fully-insured group health plans must submit annually by October 1 to the Comptroller detailed information about policies, premiums, employee enrollment, and cost-sharing requirements for the prior policy year.

Insurers and health care entities must disclose claims data, utilization data, and premiums to employers upon request, but no more than once per 12-month period, with information kept confidential and restricted from public disclosure.

Insurers must also submit annually to the Comptroller medical and pharmaceutical utilization data and claims paid information for group health policies, regardless of employer request.

The Comptroller must submit an annual report to legislative committees estimating costs or savings if municipalities obtained health benefits through state employee health insurance plans.

The Comptroller is authorized until June 30, 2015 to convene stakeholders and enter cooperative agreements to develop health care payment reforms including patient-centered medical homes, value-based purchasing, and bundled purchasing.

Hospitals and outpatient surgical facilities must submit inpatient and outpatient discharge data to the Office of Health Care Access, with the Comptroller granted access to this data under a confidentiality agreement.