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MN HF2628

Bill

Status

Introduced

3/1/2012

Primary Sponsor

Steve Gottwalt

Click for details

Origin

House of Representatives

87th Legislature 2011-2012

AI Summary

  • Removes the January 1, 2010 deadline for completing development of tools to improve healthcare costs and quality outcomes.

  • Adds case mix adjustment to risk adjustment methodologies and requires hospitals to receive cost adjustments for medical education, trauma services, neonatal intensive care, and inpatient psychiatric services.

  • Establishes an oversight committee comprising healthcare providers, health plan companies, consumers, state agencies, and quality improvement organizations to consult with the commissioner on developing and administering the peer grouping system.

  • Extends the data review period for providers from 30 to 60 days before peer grouping results are published, and requires providers to receive all relevant data fields necessary to verify accuracy and completeness.

  • Requires peer grouping publication to meet five specific criteria including 120-day advance notice to providers, statistical significance of quality comparisons, exclusion of providers with insufficient case volumes, and conspicuous disclaimers about data limitations and experimental status of the report.

Legislative Description

Provider peer grouping requirements modified.

Last Action

Introduction and first reading, referred to Health and Human Services Reform

3/1/2012

Committee Referrals

Health and Human Services Reform3/1/2012

Full Bill Text

No bill text available