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Session Laws, 2007
Volume 803, Page 3338   View pdf image
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2007 Laws of Maryland
Ch. 505
(3) THE EFFECT OF COMPETITION ON PAYMENTS TO PHYSICIANS
AND OTHER HEALTH CARE PROVIDERS; (4) THE TRENDS FOR PHYSICIAN AND OTHER HEALTH CARE
PROVIDER SHORTAGES BY SPECIALTY AND GEOGRAPHIC AREA AND ANY IMPACT
ON HEALTH CARE ACCESS AND QUALITY CAUSED BY SUCH SHORTAGES,
INCLUDING EMERGENCY DEPARTMENT EMERGENCY DEPARTMENT
OVERCROWDING; (5) THE AMOUNT OF UNCOMPENSATED CARE BEING PROVIDED
BY PHYSICIANS AND OTHER HEALTH CARE PROVIDERS AND THE TRENDS IN
UNCOMPENSATED CARE IN MARYLAND AND IN OTHER STATES; (6) THE EXTENT TO WHICH CURRENT REIMBURSEMENT METHODS
RECOGNIZED AND REWARD HIGHER QUALITY OF CARE; AND (7) METHODS USED BY LARGE PURCHASERS OF HEALTH CARE TO
EVALUATE ADEQUACY AND COST OF PROVIDER NETWORKS; AND (8) (I) THE PRACTICE BY CERTAIN HEALTH INSURANCE CARRIERS OF REQUIRING HEALTH CARE PROVIDERS WHO JOIN A PROVIDER
NETWORK OF A CARRIER TO ALSO SERVE ON A PROVIDER NETWORK OF A
DIFFERENT CARRIER; AND (II) THE EFFECT OF THE PRACTICE DESCRIBED IN ITEM (I)
OF THIS ITEM ON HEALTH CARE PROVIDER PAYMENTS AND WILLINGNESS TO SERVE ON PROVIDER NETWORKS OF HEALTH INSURANCE CARRIERS. (F) THE TASK FORCE SHALL DEVELOP RECOMMENDATIONS
REGARDING: (1) SPECIFIC OPTIONS THAT ARE AVAILABLE, GIVEN
LIMITATIONS OF THE FEDERAL ERISA LAW, TO CHANGE PHYSICIAN AND OTHER
HEALTH CARE PROVIDER REIMBURSEMENTS, IF NEEDED; (2) THE SUFFICIENCY OF PRESENT STATUTORY FORMULAS FOR
THE REIMBURSEMENT OF NONCONTRACTING PHYSICIANS AND OTHER HEALTH
CARE PROVIDERS BY HEALTH MAINTENANCE ORGANIZATIONS; (3) WHETHER THE MARYLAND INSURANCE ADMINISTRATION
AND THE ATTORNEY GENERAL CURRENTLY HAVE SUFFICIENT AUTHORITY TO REGULATE RATE SETTING AND MARKET-RELATED PRACTICES BY INSURANCE
- 3338 -


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Session Laws, 2007
Volume 803, Page 3338   View pdf image
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