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Bill > S719


MA S719

Relative to health care non-discrimination


summary

Introduced
01/22/2019
In Committee
07/23/2020
Crossed Over
Passed
Dead
12/31/2020

Introduced Session

191st General Court

Bill Summary

For legislation relative to health care non-discrimination. Health Care Financing.

AI Summary

This bill seeks to amend Chapter 176O of the Massachusetts General Laws to provide guidelines for health insurance carriers when establishing alternative payment arrangements with healthcare providers. The key provisions include: (1) Allowing carriers to consider patient population characteristics such as age, acuity, social determinants of health, and behavioral health needs when setting alternative payment arrangements, but prohibiting them from basing payments solely on provider prices or historic medical spending of a subset of their provider network; (2) Permitting carriers to include adjustments for claims processing, administrative costs, and quality/outcome-based incentive payments in alternative payment arrangements; and (3) Requiring carriers to file data on their alternative payment arrangements with the Center for Health Information and Analysis for compliance verification, with violations subject to Chapter 93A penalties.

Committee Categories

Health and Social Services

Sponsors (3)

Last Action

Ought NOT to pass (under Joint Rule 10) and placed in the Orders of the Day for the next session (on 07/23/2020)

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