§ 23-17.17-9 Health care quality and valuedatabase. – (a) The director shall establish and maintain a unified health care quality andvalue database to:
(1) Determine the capacity and distribution of existingresources;
(2) Identify health care needs and inform health care policy;
(3) Evaluate the effectiveness of intervention programs onimproving patient outcomes;
(4) Compare costs between various treatment settings andapproaches;
(5) Provide information to consumers and purchasers of healthcare;
(6) Improve the quality and affordability of patient healthcare and health care coverage;
(7) Strengthen primary care infrastructure;
(8) Strengthen chronic disease management;
(9) Encourage evidence-based practices in health care.
(b) The program authorized by this section shall include aconsumer health care quality and value information system designed to makeavailable to consumers transparent health care price information, qualityinformation and such other information as the director determines is necessaryto empower individuals, including uninsured individuals, to make economicallysound and medically appropriate decisions.
(c) The health care quality steering committee shall serve asthe working group to advise the director on the development and implementationof the consumer health care quality and value information system.
(d) The director, in collaboration with the health insurancecommissioner, may require an insurer covering at least five percent (5%) of thelives covered in the insured market in this state to file with the director aconsumer health care price and quality information plan in accordance withregulations adopted by the director pursuant to this section.
(e) The director shall adopt such regulations as arenecessary to carry out the purposes of this section and this chapter. Theregulations may permit the gradual implementation of the consumer health carequality and value information system over time, beginning with health careprice and quality information that the director determines is most needed byconsumers or that can be most practically provided to the consumer in anunderstandable manner. The regulations shall permit insurers to use securitymeasures designed to allow subscribers access to price and other informationwithout disclosing trade secrets to individuals and entities who are notsubscribers. The regulations shall avoid unnecessary duplication of effortsrelating to price and quality reporting by insurers, health care providers,health care facilities, and others, including activities undertaken byhospitals pursuant to their reporting obligations under this chapter and otherchapters of the general laws.
(f) Requirements for reporting to the health care qualitydatabase enumerated in this section and subsequent sections of this chaptershall not apply to insurance coverage providing benefits for:
(1) Hospital confinement indemnity;
(2) Disability income;
(3) Accident only;
(4) Long-term care;
(5) Medicare supplement;
(6) Limited benefit health;
(7) Specified disease indemnity;
(8) Sickness or bodily injury or death by accident or both; or
§ 23-17.17-9 Health care quality and valuedatabase. – (a) The director shall establish and maintain a unified health care quality andvalue database to:
(1) Determine the capacity and distribution of existingresources;
(2) Identify health care needs and inform health care policy;
(3) Evaluate the effectiveness of intervention programs onimproving patient outcomes;
(4) Compare costs between various treatment settings andapproaches;
(5) Provide information to consumers and purchasers of healthcare;
(6) Improve the quality and affordability of patient healthcare and health care coverage;
(7) Strengthen primary care infrastructure;
(8) Strengthen chronic disease management;
(9) Encourage evidence-based practices in health care.
(b) The program authorized by this section shall include aconsumer health care quality and value information system designed to makeavailable to consumers transparent health care price information, qualityinformation and such other information as the director determines is necessaryto empower individuals, including uninsured individuals, to make economicallysound and medically appropriate decisions.
(c) The health care quality steering committee shall serve asthe working group to advise the director on the development and implementationof the consumer health care quality and value information system.
(d) The director, in collaboration with the health insurancecommissioner, may require an insurer covering at least five percent (5%) of thelives covered in the insured market in this state to file with the director aconsumer health care price and quality information plan in accordance withregulations adopted by the director pursuant to this section.
(e) The director shall adopt such regulations as arenecessary to carry out the purposes of this section and this chapter. Theregulations may permit the gradual implementation of the consumer health carequality and value information system over time, beginning with health careprice and quality information that the director determines is most needed byconsumers or that can be most practically provided to the consumer in anunderstandable manner. The regulations shall permit insurers to use securitymeasures designed to allow subscribers access to price and other informationwithout disclosing trade secrets to individuals and entities who are notsubscribers. The regulations shall avoid unnecessary duplication of effortsrelating to price and quality reporting by insurers, health care providers,health care facilities, and others, including activities undertaken byhospitals pursuant to their reporting obligations under this chapter and otherchapters of the general laws.
(f) Requirements for reporting to the health care qualitydatabase enumerated in this section and subsequent sections of this chaptershall not apply to insurance coverage providing benefits for:
(1) Hospital confinement indemnity;
(2) Disability income;
(3) Accident only;
(4) Long-term care;
(5) Medicare supplement;
(6) Limited benefit health;
(7) Specified disease indemnity;
(8) Sickness or bodily injury or death by accident or both; or
§ 23-17.17-9 Health care quality and valuedatabase. – (a) The director shall establish and maintain a unified health care quality andvalue database to:
(1) Determine the capacity and distribution of existingresources;
(2) Identify health care needs and inform health care policy;
(3) Evaluate the effectiveness of intervention programs onimproving patient outcomes;
(4) Compare costs between various treatment settings andapproaches;
(5) Provide information to consumers and purchasers of healthcare;
(6) Improve the quality and affordability of patient healthcare and health care coverage;
(7) Strengthen primary care infrastructure;
(8) Strengthen chronic disease management;
(9) Encourage evidence-based practices in health care.
(b) The program authorized by this section shall include aconsumer health care quality and value information system designed to makeavailable to consumers transparent health care price information, qualityinformation and such other information as the director determines is necessaryto empower individuals, including uninsured individuals, to make economicallysound and medically appropriate decisions.
(c) The health care quality steering committee shall serve asthe working group to advise the director on the development and implementationof the consumer health care quality and value information system.
(d) The director, in collaboration with the health insurancecommissioner, may require an insurer covering at least five percent (5%) of thelives covered in the insured market in this state to file with the director aconsumer health care price and quality information plan in accordance withregulations adopted by the director pursuant to this section.
(e) The director shall adopt such regulations as arenecessary to carry out the purposes of this section and this chapter. Theregulations may permit the gradual implementation of the consumer health carequality and value information system over time, beginning with health careprice and quality information that the director determines is most needed byconsumers or that can be most practically provided to the consumer in anunderstandable manner. The regulations shall permit insurers to use securitymeasures designed to allow subscribers access to price and other informationwithout disclosing trade secrets to individuals and entities who are notsubscribers. The regulations shall avoid unnecessary duplication of effortsrelating to price and quality reporting by insurers, health care providers,health care facilities, and others, including activities undertaken byhospitals pursuant to their reporting obligations under this chapter and otherchapters of the general laws.
(f) Requirements for reporting to the health care qualitydatabase enumerated in this section and subsequent sections of this chaptershall not apply to insurance coverage providing benefits for:
(1) Hospital confinement indemnity;
(2) Disability income;
(3) Accident only;
(4) Long-term care;
(5) Medicare supplement;
(6) Limited benefit health;
(7) Specified disease indemnity;
(8) Sickness or bodily injury or death by accident or both; or
