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MO SB974
Bill
AI Summary
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Requires managed care organizations to submit annual reports to the Department of Social Services detailing medical loss ratios compared to the 85 percent standard for large group commercial plans under federal law and Missouri's fee-for-service MO HealthNet administrative costs.
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Mandates reporting of medical loss ratios for each managed care organization's capitated specialized subcontractors in areas such as mental health and dental health to prevent administrative costs from being incorrectly classified as health care expenditures.
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Requires disclosure of all total payments to managed care organizations in any form, including tax incentives and capitated payments for MO HealthNet participation.
Legislative Description
Creates reporting requirements for managed care organizations
Last Action
Second Read and Referred S Veterans' Affairs and Health Committee
3/26/2014