§ 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 […]
§ 31-53-43. 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 […]
§ 31-53-44. Objectives and Use of Gapcd
The objectives of the GAPCD shall be to facilitate data-driven, evidence-based improvements in access, quality, and cost of health care and to promote and improve public health through the understanding of health care expenditure patterns and operation and performance of the health care system. Specific uses of the GAPCD include, but are not limited to: […]
§ 31-53-45. Role of Administrator
The administrator of the GAPCD shall be the Center for Health Analytics and Informatics of the Georgia Institute of Technology. The administrator, in consultation with the advisory committee, shall: Determine the data to be collected from submitting entities and the method of collection, including mandatory and voluntary reporting of health care and health quality data; […]
§ 31-53-46. Design Criteria
The advisory committee and the administrator should consider the following design criteria: Allowing the use of federal Health Insurance Portability and Accountability Act of 1996 compliant, government level secured cloud computing resources to save funding; Ensuring all inbound data is converted to a common standard and ensuring that data quality checks are done on inbound […]
§ 31-53-47. Submission of Claims; Personal Identification Data Not Public Record
Beginning in January, 2023, and every month thereafter, all submitting entities shall submit claims data for state residents to the GAPCD in accordance with this article and rules and regulations promulgated pursuant to this article. Submitting entities shall submit 95 percent of data within 60 days from the day that the adjudicated claims were paid, […]
§ 31-53-48. Operation of Gapcd
The GAPCD shall be designed to: Provide access to the public through a public portal, contingent on funding, in a form and manner that ensures the privacy and security of personal health information as required by state and federal law, as a resource to insurers, consumers, employers, providers, purchasers of health care, and state agencies […]
§ 31-53-4. Appointment of Director; Qualifications; Authority; Additional Personnel
There is created the position of director of health strategy and coordination who shall be the chief administrative officer of the office. The Governor shall appoint the director who shall serve at the pleasure of the Governor. The director shall have such education, experience, and other qualifications as determined by the Governor. The director shall […]
§ 31-53-49. Requirements for Annual Report
The administrator shall prepare an annual report to include: Any policies established or revised pursuant to state and federal medical privacy laws, including the federal Health Insurance Portability and Accountability Act of 1996, P.L. 104-191, as amended; The number of requests for data and reports from the GAPCD, whether the request was submitted by a […]
§ 31-53-5. Advisory Committees; Membership; Function
The director shall have the power to establish and abolish advisory committees as he or she deems necessary to inform effective strategy development and execution. Membership on an advisory committee shall not constitute public office, and no member shall be disqualified from holding public office by reason of his or her membership. An advisory committee […]