This bill aims to enhance the market review process by making several changes to the health care system in Massachusetts. Key provisions include: – Establishing a technical advisory committee within the Health Policy Commission to provide recommendations on the health care cost growth benchmark and other technical matters. – Requiring certain health care entities and payers that exceed the health care cost growth benchmark to file and implement performance improvement plans, subject to oversight by the Health Policy Commission. – Expanding the Health Policy Commission’s authority to conduct cost and market impact reviews of providers, provider organizations, and payers. – Creating new definitions and requirements related to health care resources, health care real estate investment trusts, management services organizations, and other entities. – Making various changes to the oversight and regulation of the health insurance market, including transferring certain responsibilities from the Division of Insurance to a new Division of Health Insurance. – Establishing a health resource planning council to develop a state health plan to identify the Commonwealth’s health care needs and resources. – Adding new notification and reporting requirements for clinics, physicians, and other providers related to closures, relocations, and termination of patient relationships. Overall, the bill seeks to improve health care affordability, access, and market oversight in Massachusetts.

This bill aims to enhance the market review process in Massachusetts. The key provisions of the bill: – Establishes a technical advisory committee to provide recommendations on the health care cost growth benchmark setting process and other technical advice to the Health Policy Commission. – Requires the Health Policy Commission to set a health care cost growth benchmark for a 3-year benchmark cycle and monitor performance against the benchmark. – Allows the Health Policy Commission to require certain health care entities to file and implement performance improvement plans if they exceed the cost growth benchmark. – Expands the Health Policy Commission’s authority to conduct cost and market impact reviews of provider organizations, including reviewing the market share, pricing, and total medical expenses of providers. – Requires the Department of Public Health to consider the state health plan developed by the new Health Resource Planning Council when making determination of need decisions. – Establishes new licensure requirements and oversight for office-based surgical centers and urgent care centers. – Makes various changes to the divisions and authorities within the Department of Banking, Insurance and Health Insurance. Overall, the bill aims to enhance oversight and management of health care costs and market dynamics in Massachusetts.