|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Ch. 505
|
|
|
|
|
|
Martin O'Malley, Governor
|
|
|
|
|
|
|
|
|
|
|
|
|
|
COMPANIES OF HEALTH INSURANCE CARRIERS THAT MAY HAVE THE EFFECT OF
UNREASONABLY REDUCING REIMBURSEMENTS;
(4) WHETHER THERE IS A NEED TO ENHANCE THE ABILITY OF
PHYSICIANS AND OTHER HEALTH CARE PROVIDERS TO NEGOTIATE
REIMBURSEMENT RATES WITH PRIVATE HEALTH PLANS HEALTH INSURANCE
CARRIERS, WITHOUT UNDULY IMPAIRING THE ABILITY OF THE PLANS CARRIERS
TO APPROPRIATELY MANAGE THEIR PHYSICIAN PROVIDER NETWORKS;
(5) WHETHER THERE IS A NEED TO ESTABLISH A RATE-SETTING
SYSTEM FOR PHYSICIANS AND OTHER HEALTH CARE PROVIDERS SIMILAR TO
THE SYSTEM ESTABLISHED TO SET HOSPITAL RATES IN MARYLAND; AND
(6) THE ADVISABILITY OF THE USE OF PAYMENT METHODS
LINKED TO QUALITY OF CARE OR OUTCOMES; AND
(7) THE NEED TO PROHIBIT A HEALTH INSURANCE CARRIER FROM
REQUIRING HEALTH CARE PROVIDERS WHO JOIN A PROVIDER NETWORK OF THE
CARRIER TO ALSO SERVE ON A PROVIDER NETWORK OF A DIFFERENT CARRIER.
(G) (1) THE TASK FORCE SHALL REPORT ITS FINDINGS AND
RECOMMENDATIONS TO THE GOVERNOR AND, SUBJECT TO § 2-1246 OF THE
STATE GOVERNMENT ARTICLE, TO THE GENERAL ASSEMBLY, ON OR BEFORE
DECEMBER 31, 2007.
(2) IF THE TASK FORCE DETERMINES IT WILL NOT COMPLETE ITS
WORK BY DECEMBER 31, 2007, THE TASK FORCE SHALL, IN THE SAME MANNER
AS PROVIDED IN PARAGRAPH (1) OF THIS SUBSECTION:
(I) SUBMIT AN INTERIM REPORT OF ITS FINDINGS AND
RECOMMENDATIONS ON OR BEFORE DECEMBER 1, 2007; AND
(II) SUBMIT A FINAL REPORT OF ITS FINDINGS AND
RECOMMENDATIONS ON OR BEFORE JULY 1, JUNE 30, 2008.
(3) NOTWITHSTANDING PARAGRAPH (2) OF THIS SUBSECTION,
THE TASK FORCE SHALL SUBMIT ITS FINDINGS AND RECOMMENDATIONS
RELATING TO SUBSECTION (F)(7) OF THIS SECTION ON OR BEFORE DECEMBER
31, 2007.
(H) A MEMBER OF THE TASK FORCE MAY NOT RECEIVE COMPENSATION
AS A MEMBER OF THE TASK FORCE BUT IS ENTITLED TO REIMBURSEMENT FOR
|
|
|
|
|
|
|
|
|
|
- 3339 -
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
 |
