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MO SB917
Bill
Status
2/8/2010
Primary Sponsor
Kurt Schaefer
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AI Summary
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Requires insurers that publicly assess and compare health care provider quality and cost efficiency to retain an independent quality standard-setting organization to review their programs and compare them to national standards
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Mandates insurers' quality reporting programs include 17 specific criteria, including consumer and provider input processes, clear disclosure of measures and methodologies, provider appeal procedures, and evaluation of program effectiveness and unintended consequences
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Requires all quality measures be endorsed by the National Quality Forum (NQF), or until NQF endorsement exists, measures endorsed by the Ambulatory Care Quality Alliance, National Committee for Quality Assurance, Joint Commission on Accreditation of Healthcare Organizations, or Healthcare Effectiveness and Data Information Set (HEDIS)
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Requires any person distributing health care quality and cost efficiency data to the public identify the measure source, evidence-based science, and any peer review process used to confirm data validity
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Establishes the Department of Insurance to enforce violations by health insurers and the Department of Health and Senior Services to enforce violations by other entities, with penalties up to $1,000
Legislative Description
Enacts provisions relating to health care data standardization and transparency
Last Action
Hearing Conducted S Small Business, Insurance and Industry Committee
3/16/2010