Bill > H1045

This bill establishes a shared savings incentive payments program within health insurance plans. The key provisions include: 1. Requiring healthcare entities to disclose the allowed amount or expected charges for non-emergency medical services within 2 working days of a patient's request, including any facility fees. 2. Mandating insurance carriers to provide enrollees with a good faith estimate of the allowed amount and out-of-pocket costs for proposed non-emergency services within 2 working days of a request. 3. Requiring carriers to develop and implement a program that provides incentives for enrollees who choose to receive certain "shoppable" healthcare services from providers that charge less than the carrier's average price for that service. The incentives must be at least 50% of the carrier's saved costs. 4. Requiring carriers to annually report various metrics related to the shared savings incentive program to the Division of Insurance, which will then submit an aggregate report to the legislative committee overseeing health insurance matters. 5. Authorizing the Division of Insurance to adopt rules necessary to implement the bill's provisions. The bill aims to improve healthcare price transparency and empower consumers to make more cost-effective choices when seeking non-emergency medical services.

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https://malegislature.gov/Bills/191/H1045