Loading chat...
MO HB1662
Bill
Status
1/29/2014
Primary Sponsor
Todd Richardson
Click for details
AI Summary
-
Requires health care providers and insurers to provide cost estimates to patients within three business days of request, including charges, negotiated rates, and co-payments, with specified disclaimer language.
-
Prohibits contracts between health carriers and providers from restricting disclosure of payment amounts to patients if those amounts are less than the provider's usual charges.
-
Establishes a Joint Committee on MO HealthNet consisting of ten legislative members to study resources needed for the program, review health outcomes and satisfaction data, and report annually to the General Assembly beginning January 1, 2016.
-
Requires MO HealthNet managed care organizations to maintain medical loss ratios of at least 85 percent and refund portions of capitation rates if this threshold is not met over a three-year period.
-
Mandates managed care organizations to maintain adequate provider networks with specified types of providers, post networks online, submit to secret shopper surveys, and publicly report data on medical loss ratios, service utilization, denials, complaints, and quality measures.
Legislative Description
Changes the laws regarding MO HealthNet managed care services
Last Action
Rules - Reported Do Pass (H)
4/3/2014