Status: Enacted
Year Enacted: 2011
States that a managed care organization that has contracted with the department may voluntarily seek participation in demonstration project by notifying the Medicaid ACO of its desire to participate and shall submit a separate gainsharing […]
Status: Enacted
Year Enacted: 2011
States that the department, in consultation with the Department of Health, shall design and implement the application process for approval of participating ACOs in the demonstration project, collect data from participants, and approve a methodology […]
N.J. Rev. Stat. § 30:4D-8.9. Annual project assessment: Medical Assistance and Health Services Act – New Jersey
Status: Enacted
Year Enacted: 2011
States that the Department of Health shall evaluate the demonstration project annually to assess whether costs savings, including savings in administrative costs and due to improved health outcomes, are achieved, in addition to improvement rates […]
Status: Enacted
Year Enacted: 1989
Defines alternative payment entity, alternative payment model, alternative payment model standards, approved quality measure, health care service, hospital and physician incentive plan, among other terms.
N.J. Rev. Stat. § 45:9-22.5c. Alternative payment model; application: Practice of Medicine and Surgery in General – New Jersey
Status: Enacted
Year Enacted: 2017
States that a participant desiring to establish an alternative payment model must submit an application to the Department of Health. The Department of Health shall review the application and notify if the model is approved.
Status: Enacted
Year Enacted: 2017
States that the Department of Health shall review alternative payment models to determine whether the participants in the alternative payment model have complied with the act and other laws and regulations, and whether the alternative […]
Status: Enacted
Year Enacted: 1994
Definitions for the Small Employer Health Insurance Availability Act.
Status: Enacted
Year Enacted: 1997
Provisions governing group health plans.
Okla. Stat. tit. 63, § 5025. Reimbursement methodology: Oklahoma Health Care Authority Act – Oklahoma
Status: Enacted
Year Enacted: 2001
The Oklahoma Health Care Authority may establish, with available funds, a reimbursement methodology that will enhance the reimbursement for services provided to Medicaid beneficiaries in emergency hospitals in rural areas of the state.
Status: Enacted
Year Enacted: 2007
As used in this section “health care district” means a subordinate health care entity that better promotes efficient administration of health care service delivery for counties with a population of one hundred thousand (100,000) or […]
Status: Enacted
Year Enacted: 2011
A hospital that provides services or supplies under a benefit plan offered by the Public Employees’ Benefit Board shall be reimbursed using the methodology prescribed by the Oregon Health Authority under ORS 442.392 and may […]
Status: Enacted
Year Enacted: 2011
A hospital that provides services or supplies under a benefit plan offered by the Oregon Educators Benefit Board shall be reimbursed using the methodology prescribed by the Oregon Health Authority under ORS 442.392 and may […]
Status: Enacted
Year Enacted: 2011
States that the Oregon Health Authority must develop a uniform payment methodology, which allows for the use of alternative payment methodologies, including but not limited to pay-for-performance, bundled payments and capitation.
Status: Enacted
Year Enacted: 2011
States that the Green Mountain Care Board is responsible for payment and delivery reforms established and implemented to manage costs of care and promote better outcomes for Vermonters.
Status: Enacted
Year Enacted: 2015
Requires accountable care organizations to receive and maintain certification from the Green Mountain Care Board and outlines criteria that must be met in order to be certified as an accountable care organization in Vermont.
Vt. Stat. Ann. tit. 18, § 9571. Definitions: All-Payer Model and Accountable Care Organizations – Vermont
Status: Enacted
Year Enacted: 2017
Defines terms related to the chapter on Vermont’s All-Payer Model and Accountable Care Organizations.
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