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42 R.I. Gen. Laws §§ 42-14.5-1 through 42-14.5-4: The Rhode Island Health Care Reform Act of 2004 — Health Insurance Oversight – Rhode Island
Status: Enacted
Year Enacted: 2004
Provisions govern the responsibilies of the health insurance commissioner to guard the solvency of health insurers, protect the interests of consumers, encourage fair treatment of health care providers, encourage policies that imporve the quality and […]
Status: Enacted
Year Enacted: 2019
A health insurer may offer a shared savings incentive program to provide incentives to an insured when the insured obtains a shoppable health care service from the health insurer’s shared savings list. An insured may […]
Status: Enacted
Year Enacted: 2019
A health insurer may offer a shared savings incentive program to provide incentives to an insured when the insured obtains a shoppable health care service from the health insurer’s shared savings list. An insured may […]
Fla. Stat. § 641.31076. Shared savings incentive program: Health Maintenance Organization Act – Florida
Status: Enacted
Year Enacted: 2019
A health maintenance organization may offer a shared savings incentive program to provide incentives to an insured when the insured obtains a shoppable health care service from the health insurer’s shared savings list. An insured […]
Status: Enacted
Year Enacted: 2020
Section requires that each insurer make pricing information publically available on its website.
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.
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
Status: Enacted
Year Enacted: 2019
Beginning upon approval of the next health insurance rate filing on or after January 1, 2021, a carrier offering a health plan in this state shall implement a shopping and decision support program that provides […]
Status: Enacted
Year Enacted: 2018
An insurer may, in accordance with Subsection (4), establish a savings reward program for a health benefit plan. A savings reward program rewards to the enrollee through premium discounts; rebates; reduction of out-of-pocket costs; or […]
Status: Enacted
Year Enacted: 2019
Requires health carriers to establish a comparable health care service incentive program under which savings are shared with a covered person who elects to receive a covered comparable health care service from a lower-cost provider.
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