IL SB1379

Amends the Children's Health Insurance Program Act to restrict mandatory assignments into managed care organizations until the Department of Healthcare and Family Services demonstrates that net per-recipient costs paid by State revenue sources are lower than fiscal year 2014 fee-for-service costs and health outcome goals are met.

Requires all per-recipient cost calculations to be performed between like eligibility categories, with Hospital Assessment Program payments excluded from these calculations.

Mandates the Department annually calculate and publish on its website a detailed report on per-recipient cost calculations, including data included, data excluded, adjustments made, and justifications for those adjustments.

Maintains the requirement that at least 50% of eligible recipients be enrolled in care coordination programs by January 1, 2015, with integrated delivery systems responsible for providing primary care, referrals, diagnostic services, behavioral health, hospital services, dental services, and rehabilitation services.

Establishes payment arrangements based on performance related to health care outcomes, evidence-based practices, primary care medical homes, and electronic medical records, using either capitated or other risk-based payment models.