1.1.................... moves to amend H.F. No. 1988, the first engrossment, as follows:
1.2Delete everything after the enacting clause and insert:
1.3 "Section 1. Minnesota Statutes 2008, section 256B.69, subdivision 9b, is amended to
1.4read:
1.5 Subd. 9b.
Reporting provider payment rates. (a) According to guidelines
1.6developed by the commissioner, in consultation with
health care providers, managed care
1.7plans
, and county-based purchasing plans, each managed care plan and county-based
1.8purchasing plan must
annually provide to the commissioner
, at the commissioner's request,
1.9detailed or aggregate information on reimbursement rates paid by the managed care plan
1.10under this section or the county-based purchasing plan under section
256B.692 to
provider
1.11types providers and vendors for administrative services under contract with the plan.
1.12(b) Each managed care plan and county-based purchasing plan must annually
1.13provide to the commissioner, in the form and manner specified by the commissioner:
1.14(1) the amount of the payment made to the plan under this section that is paid to
1.15health care providers for patient care;
1.16(2) aggregate provider payment data, categorized by inpatient payments and
1.17outpatient payments, with the outpatient payments categorized by payments to primary
1.18care providers and non-primary care providers;
1.19(3) the process by which increases or decreases in payments made to the plan
1.20under this section, that are based on actuarial analysis related to provider cost increases
1.21or decreases, or that are required by legislative action, are passed through to health care
1.22providers, categorized by payments to primary care providers and non-primary care
1.23providers; and
1.24(4) specific information on the methodology used to establish provider
1.25reimbursement rates paid by the managed health care plan and county-based purchasing
1.26plan.
2.1Data provided to the commissioner under this subdivision must allow the
2.2commissioner to conduct the analyses required under paragraph (d).
2.3 (b) (c) Data provided to the commissioner under this subdivision are nonpublic
2.4data as defined in section
13.02.
2.5(d) The commissioner shall analyze data provided under this subdivision to assist the
2.6legislature in providing oversight and accountability related to expenditures under this
2.7section. The analysis must include information on payments to physicians, physician
2.8extenders, and hospitals, and may include other provider types as determined by the
2.9commissioner. The commissioner shall also array aggregate provider reimbursement rates
2.10by health plan, by primary care and non-primary care categories. The commissioner shall
2.11report the analysis to the legislature annually, beginning December 15, 2010, and each
2.12December 15 thereafter. The commissioner shall also make this information available
2.13on the agency's Web site to managed care and county-based purchasing plans, health
2.14care providers, and the public."
2.15Amend the title accordingly