HF 2300 (see companion bill SF 3) – Minnesota
Introduced: 2019 Status: Inactive / Dead
Health plan companies required to develop and implement shared savings incentive program: requires health plan companies to offer a shared savings incentive program to its enrollees beginning Jan 1, 2020. Description of the program must …
HF 2613 – Minnesota
Introduced: 2019 Status: Inactive / Dead
Southeastern Minnesota pilot program requiring health plan companies to develop and implement shared savings incentive program established: requires health plan companies to offer a shared savings incentive program to its enrollees beginning Jan 1, 2020. …
HF 2616 (see companion bill SF 967) – Minnesota
Introduced: 2019 Status: Inactive / Dead
Integrated health care, services, and supports partnership demonstration project established; and long-term care access fund established.
HF 638 – Minnesota
Introduced: 2019 Status: Inactive / Dead
Health plan companies’ development and implementation of shared savings incentive program required: requires health plan companies to offer a shared savings incentive program to its enrollees beginning Jan 1, 2020. Description of the program must …
LB 1119 – Nebraska
Introduced: 2018 Status: Enacted
DIRECT PRIMARY CARE PILOT PROGRAM ACT: This Act establishes a direct primary care pilot program within the Nebraska State Insurance Program. The NE Department of Administrative Services shall provide at least two different direct primary …
LD 1085 – Maine
Introduced: 2023 Status: In Process
This bill makes the following changes to the law relating to the comparable health care incentive program. 1. It removes the requirement that the small group health plan design be compatible with a health savings …
LD 445 – Maine
Introduced: 2017 Status: Enacted
AN ACT TO ENCOURAGE MAINE CONSUMER TO COMPARISON-SHOP FOR CERTAIN HEALTH CARE PROCEDURES AND TO LOWER HEALTH CARE COSTS: A health care entity shall notify patients of their right, if covered by a health plan, …
Mass. Gen. Laws ch. 6D, § 15. Certification as accountable care organization (ACO); standards: Health Policy Commission – Massachusetts
Status: Enacted Year Enacted: 2012
Relates to criteria for certifying ACOs, and also includes ACO goals related to telemedicine. See definition section Mass. Gen. Laws ch. 6D, § 1.
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Me. Stat. tit. 22, § 1718-B. Consumer information regarding health care entity prices: Hospitals and Medical Care — General Provisions – Maine
Status: Enacted Year Enacted: 2013
The April 2014 revision of Me. Rev. Stat. Ann. tit. 22, §1718-A, effective January 1, 2014, requires providers to publish prices for their most common services. Specifically: 1. Healthcare entities must provide pricing information (price …
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Me. Stat. tit. 22, §§ 8701 through 8717: Maine Health Care Data Organization – Maine
Status: Enacted Year Enacted: 1995
The Maine Health Data Organization (MHDO) was established by the Maine Legislature in 1996 as an independent executive agency to collect clinical and financial health care information and to exercise responsible stewardship in making this …
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Me. Stat. tit. 24-A, § 4302. Reporting requirements: Health Plan Requirements – Maine
Status: Enacted Year Enacted: 1995
To offer or renew a health plan in the state, a carrier must comply with specific requirements regarding description and explanation of plan, coverage, prior authorization, claims data, and annual report, as pursuant under the …
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Me. Stat. tit. 24-A, § 4303. Plan requirements: Health Plan Requirements – Maine
Status: Enacted Year Enacted: 1995
Prescribes requirements for health plan contracts. Among other things, such as ensuring adequate access to providers, the statute prohibits certain contract provisions including (1) those which induce financial incentives to deny medically necessary services and …
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Me. Stat. tit. 24-A, § 4318-A. Comparable health care service incentive program: Health Plan Requirements – Maine
Status: Enacted Year Enacted: 2017
States that a carrier offering a health plan shall establish a helath plan design in which enrollees are directly incentivized to shop for low-cost, high-quality participating providers for comparable health services. Incentives may include cash …
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Me. Stat. tit. 24-A, § 4318-B. Access to lower-priced services: Health Plan Requirements – Maine
Status: Enacted Year Enacted: 2017
States that if an enrollee elects to obtain a covered comparable health care service from an out of network provider at a price that is the same or less than the statewide average for the …
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Neb. Rev. Stat. §§ 44-1401 through 44-1414: Nebraska Right to Shop Act – Nebraska
Status: Enacted Year Enacted: 2018
The aim of the act is to enhance consumers ability to be more informed about their health care costs. Sections include the required disclosures by health care entities of cost estimates of certain care and …
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S 1028 (see companion bill A 3057) – New Jersey
Introduced: 2018 Status: Inactive / Dead
Establishes Office of Health Transformation to coordinate certain strategic planning for State health care programs. The Office of Health Transformation shall serve strategic planning, advisory, coordination, communication, and contract review and development functions in its …