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MO HB2072

Bill

Status

Introduced

2/8/2010

Primary Sponsor

Doug Ervin

Click for details

Origin

House of Representatives

2010 Regular Session

AI Summary

  • Requires health insurers' quality and cost comparison programs to retain independent national health care quality organizations to review their methodologies and compare to national standards

  • Mandates that cost efficiency information cannot be publicly reported without accompanying quality information, and requires disclosure of individual scores, weightings, and formulas when combining measures

  • Prohibits health insurers from entering into contracts on or after January 1, 2011 that restrict use of medical claims data for comparative cost, quality, and efficiency reporting to consumers and employers

  • Requires all quality measures to be endorsed by the National Quality Forum (NQF) or successor organizations, with alternative endorsements from other recognized quality organizations if NQF-endorsed measures do not exist

  • Establishes that providers selling health care quality and cost efficiency data must identify measure sources and national consensus processes confirming data validity, with penalties up to $1,000 for violations enforced by the Department of Health and Senior Services

Legislative Description

Establishes the criteria of health carrier programs that publicly assess and compare the quality and cost efficiency of health care providers

Last Action

Executive Session - No Action Taken

4/27/2010

Committee Referrals

Health Care Policy2/24/2010

Full Bill Text

No bill text available