62U.01 DEFINITIONS. Subdivision 1. Applicability. For purposes of this chapter, the terms defined in this section have the meanings given, unless otherwise specified. Subd. 2. Basket or baskets of care. “Basket” or “baskets of care” means a collection of health care services that are paid separately under a fee-for-service system, but which are ordinarily combined […]
62U.02 PAYMENT RESTRUCTURING; QUALITY INCENTIVE PAYMENTS. Subdivision 1. Development. (a) The commissioner of health shall develop a standardized set of measures for use by health plan companies as specified in subdivision 5. As part of the standardized set of measures, the commissioner shall establish statewide measures by which to assess the quality of health care […]
62U.03 HEALTH CARE HOMES. Subdivision 1. Payment restructuring and care coordination payments. (a) By January 1, 2010, health plan companies shall include health care homes in their provider networks and by July 1, 2010, shall pay a care coordination fee for their members who choose to enroll in health care homes certified by the commissioner […]
62U.04 PAYMENT REFORM; HEALTH CARE COSTS; QUALITY OUTCOMES. Subdivision 1. Development of tools to improve costs and quality outcomes. The commissioner of health shall develop a plan to create transparent prices, encourage greater provider innovation and collaboration across points on the health continuum in cost-effective, high-quality care delivery, reduce the administrative burden on providers and […]
62U.05 PROVIDER PRICING FOR BASKETS OF CARE. Subdivision 1. Establishment of definitions. (a) By July 1, 2009, the commissioner of health shall establish uniform definitions for baskets of care beginning with a minimum of seven baskets of care. In selecting health conditions for which baskets of care should be defined, the commissioner shall consider coronary […]
62U.06 COORDINATION; LEGISLATIVE OVERSIGHT. Subdivision 1. Coordination. In carrying out the responsibilities of this chapter, the commissioner of health shall ensure that the activities and data collection are implemented in an integrated and coordinated manner that avoids unnecessary duplication of effort. To the extent possible, the commissioner shall use existing data sources and implement methods […]
62U.07 SECTION 125 PLANS. Subdivision 1. Definitions. (a) For purposes of this section, the following terms have the meanings given them. (b) “Employee” means an employee currently on an employer’s payroll other than a retiree or disabled former employee. (c) “Employer” means a person, firm, corporation, partnership, association, business trust, or other entity employing one […]
62U.08 ESSENTIAL BENEFIT SET. Subdivision 1. Work group created. The commissioner of health shall convene a work group to make recommendations on the design of a health benefit set that provides coverage for a broad range of services and technologies, is based on scientific evidence that the services and technologies are clinically effective and cost-effective, […]
62U.10 HEALTH CARE TRANSFER, SAVINGS, AND REPAYMENT. Subdivision 1. Health care access fund transfer. On June 30, 2009, the commissioner of management and budget shall transfer $50,000,000 from the health care access fund to the general fund. Subd. 2. Projected spending baseline. (a) By June 1, 2009, the commissioner of health shall calculate the annual […]
62U.15 ALZHEIMER’S DISEASE; PREVALENCE AND SCREENING MEASURES. Subdivision 1. Data from providers. (a) By July 1, 2012, the commissioner shall review currently available quality measures and make recommendations for future measurement aimed at improving assessment and care related to Alzheimer’s disease and other dementia diagnoses, including improved rates and results of cognitive screening, rates of […]
