HB 248

Abstract

Health care data report; carriers. Directs the Department of Health, through its contract with the nonprofit organization that compiles and evaluates health care data on behalf of the Commonwealth and in consultation with the Bureau of Insurance of the State Corporation Commission (the Bureau), to (i) develop and implement a methodology to review and measure the efficiency and productivity of health care providers and carriers other than limited scope dental or vision plans and managed care health insurance plans and (ii) make available to the public on a website maintained by the nonprofit organization such data and information and other reports collected or produced as a result of implementation of such methodology by July 1, 2023. The bill also requires the Bureau to convene a stakeholder work group to (a) provide input on the development of the methodology required by the act; (b) identify additional measures to increase the transparency of information provided to the Bureau by carriers, managed care health insurance plans, and health care providers; and (c) determine what additional information should be provided to the nonprofit organization by carriers, managed care health insurance plan providers, and health care providers to foster transparency and competition among both carriers and health care providers and assist consumers in making educated decisions regarding options for health care coverage and access. The bill requires the work group to report its findings and recommendations to the Governor and the Chairmen of the House Committee on Health, Welfare and Institutions and the Senate Committee on Education and Health by November 1, 2022.

Health care data report; carriers. Directs the Department of Health, through its contract with the nonprofit organization that compiles and evaluates health care data on behalf of the Commonwealth and in consultation with the Bureau of Insurance of the State Corporation Commission (the Bureau), to (i) develop and implement a methodology to review and measure the efficiency and productivity of carriers other than limited scope dental or vision plans and managed care health insurance plans, and (ii) make available to the public on a website maintained by the nonprofit organization such data and information and other reports collected or produced as a result of implementation of such methodology by July 1, 2023. The bill also requires the Bureau to convene a stakeholder work group to (a) provide input on the development of the methodology required by the act; (b) identify additional measures to increase the transparency of information provided to the Bureau by carriers, managed care health insurance plans, and health care providers; and (c) determine what additional information should be provided to the nonprofit organization by carriers, managed care health insurance plan providers, and health care providers to increase competition among both carriers and health care providers and assist consumers in making educated decisions regarding options for health care coverage and access. The bill requires the work group to report its findings and recommendations to the Governor and the Chairmen of the House Committee on Health, Welfare and Institutions and the Senate Committee on Education and Health by November 1, 2022.

Health care data report; carriers; civil penalty.Requires carriers, as defined in the bill, to submit certain datato the nonprofit organization with which the Commissioner of Healthhas entered into a contract or agreement for the compilation, storage, analysis, and evaluation of data.