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Ch. 64
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2000 LAWS OF MARYLAND
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(3) Collect appropriate information relating to health care costs,
utilization, or resources from payors and governmental agencies.
[(c)] (D) (1) The Commission shall adopt regulations governing the access
and retrieval of all medical claims data and other information collected and stored in
the medical care data base and any claims clearinghouse licensed by the Commission
and may set reasonable fees covering the costs of accessing and retrieving the stored
data.
(2) These regulations shall ensure that confidential or privileged patient
information is kept confidential.
(3) Records or information protected by the privilege between a health
care practitioner and a patient, or otherwise required by law to be held confidential,
shall be filed in a manner that does not disclose the identity of the person protected.
[(d)] (E) (1) To the extent practicable, when collecting the data required
under subsection [(b)] (C) of this section, the Commission shall utilize any
standardized claim form or electronic transfer system being used by health care
practitioners, office facilities, and payors.
(2) The Commission shall develop appropriate methods for collecting the
data required under subsection [(b)] (C) of this section on subscribers or enrollees of
health maintenance organizations.
[(e)] (F) Until the provisions of § 19-135 of this subtitle are fully
implemented, where appropriate, the Commission may limit the data collection under
this section.
[(f)] (G) (1) By October 1, 1995 and each year thereafter, the Commission
shall publish an annual report on those health care services selected by the
Commission that:
[(1)](I) Describes the variation in fees charged by health care
practitioners and office facilities on a statewide basis and in each health service area
for those health care services; and
[(2)] (II) Describes the geographic variation in the utilization of those
health care services.
(2) (I) ON AN ANNUAL BASIS, THE COMMISSION SHALL PUBLISH:
1. THE TOTAL REIMBURSEMENT FOR ALL HEALTH CARE
SERVICES OVER A 12-MONTH PERIOD;
2. THE TOTAL REIMBURSEMENT FOR EACH HEALTH CARE
SPECIALITY OVER A 12-MONTH PERIOD;
3. THE TOTAL REIMBURSEMENT FOR EACH CODE OVER A
12-MONTH PERIOD; AND
4. THE ANNUAL RATE OF CHANGE IN REIMBURSEMENT FOR
HEALTH SERVICES BY HEALTH CARE SPECIALTIES AND BY CODE.
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- 588 -
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