MN HF2241

Requires managed care and county-based purchasing plans to submit detailed annual financial data to the commissioner including administrative expenses, revenues, provider payments, reimbursement rates, reinsurance data, and reserve contributions.

Mandates that the commissioner collect data in uniform format developed in consultation with the commissioners of health and commerce, using existing data sources to minimize duplication and administrative costs.

Requires managed care and county-based purchasing plans to submit to annual independent third-party financial audits, with auditing firms restricted to those serving only governmental entities and having no financial relationships with the plans being audited.

Mandates plans provide real-time encounter and claims data to the commissioner and auditors, with auditable proof of reported encounters and claims upon request.

Specifies that completed audit reports must be provided to the legislative auditor, attorney general, and health finance committee chairs, with the effective date applying to contracts effective January 1, 2013 and thereafter.