MN HF3696

Beginning in 2024, health plan companies and third-party administrators must submit non-claims-based payments (including alternative payment models, infrastructure investments, and workforce investments) to a private entity designated by the commissioner of health.

Non-claims-based payment data must be attributed to health care providers in the same manner as claims-based data and combined with existing data for analysis of health care spending.

Commissioner of health shall report to the legislature by February 15, 2023, on the volume and distribution of health care spending across payment models, with specific focus on value-based care and primary care spending.

The report must include estimates of claims-based and non-claims-based payments separated by insurance type (state health care programs, Medicare Advantage, and commercial insurance) and recommendations for gathering better data on value-based payments.

Data collected under these provisions are classified as nonpublic data with established procedures to protect confidentiality, though summary data may be derived and published without identifying individual providers.