MO HB1878

Requires health insurers that publicly assess and compare provider quality and cost-efficiency to retain independent nationally recognized quality standard-setting organizations to review their programs at the insurers' own expense.

Mandates that performance reporting include both quality and cost-efficiency information together, with cost-efficiency data prohibited from being reported without accompanying quality information.

Requires all quality measures to be endorsed by the National Quality Forum (NQF) or successor, with alternative endorsements from Ambulatory Care Quality Alliance, National Committee for Quality Assurance, or Joint Commission HEDIS as interim options.

Establishes that providers must receive reasonable prior notice before individual performance information is publicly released and have the right to request review and correction of inaccurate results.

Authorizes the Department of Health and Senior Services to investigate complaints and impose penalties up to $1,000 for violations by non-health carriers, and assigns the Department of Insurance to enforce violations by health insurers under existing insurance law authority.