Bill > H2183

This bill aims to establish guidelines for insurance companies' physician evaluation programs in Massachusetts. It defines key terms like "quality" and "cost efficiency," and sets out 16 minimum attributes that any physician performance evaluation program must have, including public disclosure, meaningful input from physicians and biostatisticians, mechanisms for data accuracy and validity, and requirements around quality measures, tiering, and transparency. The bill also requires the Insurance Commissioner to establish standard tiering criteria and network adequacy standards for tiered network plans, and regulates how carriers can reclassify provider tiers and participate in selective and tiered plans.

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https://malegislature.gov/Bills/190/H2183