§ 31-53-53. Reporting Exemption for Self-Funded Employer or Plan Sponsor
Nothing in this article shall be construed to impose any reporting obligation on any self-funded employer or plan sponsor, or to impose any requirement with respect to the manner in which any such self-funded plan is administered. Nothing in this article shall prevent an insurer or third-party administrator from communicating its views to an employer […]
§ 31-53-20. Legislative Findings; Public Policy Declaration
The General Assembly finds that: Cost of care, diagnostic metrics, care gaps, and best practices are best analyzed with large-scale data; The current data infrastructure must be adapted to adequately integrate state and private resources in a manner that will serve the divergent needs of the state; All components of state data collection and dissemination […]
§ 31-53-52. Impact of Insufficient Funding
If at any time it is determined that there is not sufficient funding to finance the ongoing operations of the GAPCD, the GAPCD shall cease operating and the advisory committee and administrator shall no longer have the duty to carry out the functions required pursuant to this article. If the GAPCD ceases to operate, any […]
§ 31-53-21. Establishment of Georgia Data Access Forum; Composition; Membership
The office shall convene a Georgia Data Access Forum composed of health care stakeholders and experts, including representatives from: The Georgia Health Information Network; Hospital associations; Physician associations; Pharmacy associations; Dental associations; The Department of Community Health; The Department of Public Health; The Department of Behavioral Health and Developmental Disabilities; The Insurance Commissioner’s Office; Insurance […]
§ 31-53-22. Purpose
The purpose of the Georgia Data Access Forum shall be to make recommendations to the office on: Conducting a baseline analysis of the current data base infrastructure; Identifying common goals for the state and stakeholders; Prioritizing desired data base functions; Securing proposals for data base platforms; Analyzing existing systems and technology that can be leveraged […]
§ 31-53-23. Consultation With Third Party Vendors
Third-party vendors may be contacted for expertise at the director’s discretion to assist the Georgia Data Access Forum in formulating its recommendations pursuant to Code Section 31-53-22. Third-party vendors may be consulted and permitted to offer proposals and make presentations to the office and the Georgia Data Access Forum. History. Code 1981, § 31-53-23 , […]
§ 31-53-40. Definitions
As used in this article, the term: “Administrator” means the administrator of the GAPCD. “Advisory committee” means the GAPCD Advisory Committee established pursuant to Code Section 31-53-41. “Claims data” means information included in an institutional, professional, or pharmacy claim or equivalent information transaction for a covered individual, including the amount paid to a provider of […]
§ 31-53-41. Gapcd Advisory Committee Established; Membership; Terms; Meeting; Reimbursement for Expenses; Appointment of Nonvoting Members
There is established the GAPCD Advisory Committee for the purpose of making recommendations regarding the creation of the framework and implementation plan for the GAPCD to facilitate the reporting of health care and health quality data resulting in transparent and public reporting of safety, quality, cost, and efficiency information at all levels of health care. […]
§ 31-53-42. Initial Recommendations Requirements; Ongoing Recommendations; Evaluations
The advisory committee shall make initial recommendations to the director no later than March 1, 2021, regarding the creation and operation of a state all-payer claims database, to be known as the GAPCD, that: Include specific strategies to measure and collect data related to health care safety and quality, utilization, health outcomes, and cost; Focus […]
§ 31-53-43. Funding; Beginning of Operations
The director shall seek funding for the creation of the all-payer health claims database and develop a plan for the financial stability of the GAPCD. No later than March 15, 2021, the director shall report to the Governor and the General Assembly on the status of the funding effort and on the status of the […]