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MO HB2072
Bill
Status
2/8/2010
Primary Sponsor
Doug Ervin
Click for details
AI Summary
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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
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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
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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
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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
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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