Status: Enacted
Year Enacted: 2016
Outlines the reimbursement requirements for hospitals.
Status: Enacted
Year Enacted: 1974
Any health maintenance organization or medicare provider organization issues a certificate and otherwise in compliance with this act may enter into contracts in this state to provide an agreed upon set of health care services […]
La. Rev. Stat. Ann. §§ 22:1241 through 22:1252: Louisiana Safety Net Health Insurance Program – Louisiana
Status: Enacted
Year Enacted: 2003
The Louisiana Safety Net Health Insurance Program shall provide for minimal benefit hospital and medical policies. Participating health insurance issuers shall offer minimal benefit hospital and medical insurance policies that allow enrollees to access at […]
Status: Enacted
Year Enacted: 2011
2012 legislation that authorized a pilot program to allow for insurance carriers to implement payment reform strategies with providers through the structure of ACOs. Authorizes Superintendent of Insurance to allow payment reform pilot projects between […]
Status: Enacted
Year Enacted: 2010
The commissioner shall continue a demonstration project established under this section to test alternative and innovative integrated health partnerships, including accountable care organizations that provide services to a specified patient population for an agreed-upon total […]
Status: Enacted
Year Enacted: 2011
Establishes a Medicaid ACO Demonstration Project with the goal of increasing access to care and increasing efficiency and cost reductions through improved coordination and information sharing. Such activities will be exempt from state antitrust laws […]
Status: Enacted
Year Enacted: 2011
States that the Commissioner of Human Services shall apply for State plan amendements or waivers necessary to implement the provisions of this act and to secure federal financial participation for State Medicaid expenditures under the […]
Status: Enacted
Year Enacted: 2011
States that under the demonstration project, payments shall continue to be made to providers of services and suppliers participating in the Medicaid ACO for services provided on a fee-for-service basis in the same manner as […]
Status: Enacted
Year Enacted: 2011
States that a Medicaid ACO certified pursuant to this act shall not be required to obtain a licensure or certification from the Department of Banking and Insurance as an organized delivery system. Note: This statute […]
N.J. Rev. Stat. § 30:4D-8.14. Report to Governor and Legislature: Medical Assistance and Health Services Act – New Jersey
Status: Enacted
Year Enacted: 2011
States that upon completion of the demonstration project, the Commissioners of Human Services and Health shall report to the Governor and Legislature on the demonstration project and include in the report the findings of the […]
N.J. Rev. Stat. § 30:4D-8.15. Rules and regulations: Medical Assistance and Health Services Act – New Jersey
Status: Enacted
Year Enacted: 2011
States that the Commissioner of Human Services shall adopt rules and regulations establishing the standards for gainsharing plans submitted by Medicaid ACOs, as well as for the ongoing oversight and monitoring of the quality of […]
Status: Enacted
Year Enacted: 2011
Defines ACO, Medicaid ACO Demonstration Project, Primary care provider, among other terms. Note: This statute is effective Oct. 17, 2011 and Expires three years after adoption of regulations.
Status: Enacted
Year Enacted: 2011
States that the Department of Human Services shall establish a 3-year Medicaid ACO Demonstration Project in which nonprofit corporations may apply. Note: This statute is effective Oct. 17, 2011 and Expires three years after adoption […]
Status: Enacted
Year Enacted: 2011
States that the department will accept applications to serve as a Medicaid ACO for participation in the demonstration if the applicant meets certain requirements and shall deny applicants that do not meet the requirements, including: […]
Status: Enacted
Year Enacted: 2011
Requires a Medicaid ACO to receive approval from the department in order to receive and distribute gainsharing payments. Approval from the department is contingent on whether the gainsharing plans promote: improvements in health outcomes and […]
Status: Enacted
Year Enacted: 2011
States that the department shall remit payment of cost savings to a participating Medicaid ACO following approval by the department of the ACO’s gainsharing plan and identification of cost savings and agreement from the federal […]
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