Minnesota 2023-2024 Regular Session

Minnesota House Bill HF481

Introduced

1/17/23

Refer

1/17/23

Caption

Data collected under the all-payer claims database and uses of this data modified, and commissioner of health required to study and report on systems used by health plan companies and third-party administrators to pay health care providers.

Impact

If enacted, HF481 will lead to significant changes in how healthcare data is handled in Minnesota. By requiring health plan companies to report comprehensive data on payments and costs, the bill facilitates a clearer understanding of healthcare spending patterns. This transparency is expected to empower healthcare providers and policymakers with the information necessary to make informed decisions that could improve patient care and resource allocation. Furthermore, the bill could drive improvements in healthcare quality metrics by shifting focus from quantity of services to value-based outcomes.

Summary

House File 481 seeks to enhance the transparency of healthcare spending in Minnesota by modifying the data collection requirements for the all-payer claims database. This bill mandates that all health plan companies and third-party administrators submit encounter and pricing data monthly. In addition, the bill aims to capture non-claims-based payments that reward value over volume, with the objective of promoting value-based care models. The data collected will be essential for evaluating the performance of health programs and ensuring fiscal accountability within the healthcare system.

Contention

The proposal has raised some concerns among stakeholders. Critics worry that the rigorous data submission requirements may impose additional burdens on healthcare providers, especially smaller practices and independent administrators. There are fears that excessive regulations could stifle innovation in payment models and complicate the healthcare landscape. Balancing the need for transparency and quality improvement against the operational realities of healthcare providers remains a notable point of contention in discussions surrounding HF481.

Latest HF481 Activity

Companion Bills

No companion bills found.

Previously Filed As

MN SF302

Disclosure of certain payments made to health care providers requirement; all-payer claims data provision modification; transparency of health care payments report requirement

MN HF926

Payments made to health care providers disclosure required, self-insurer governing provision added, all-payer claims data provision changed, and transparency of health care payments report required.

MN HF1487

Data on fully denied claims required to be submitted to the all-payer claims database, fee schedule for expanded access to data in the all-payer claims database established, and money appropriated.

MN SF2104

Data on fully denied claims requirement to be submitted to the all-payer claims database

MN HB2090

Relating to the establishment of a statewide all payor claims database and health care cost disclosures by health benefit plan issuers and third-party administrators.

MN HF402

Health care entity transaction requirements established, health care transaction data reported, expiration date changed on moratorium conversion transactions, health system required to return charitable assets received from the state to the general fund, study required on regulation of transactions, and report required.

MN SF2153

All-payer claims database sunset repeal

MN SB00384

An Act Concerning Mental Health Parity, Data Reported By Managed Care Organizations And The All-payer Claims Database.

MN HB1907

Relating to the establishment of a statewide all payor claims database to increase public transparency of health care data and improve quality of health care in this state.

MN HF2202

Health Care Affordability Board and Health Care Affordability Advisory Council established, monitoring of and recommendations related to health care market trends required, health care spending growth target program established, civil penalties provided, and transfers of funds required.

Similar Bills

MN HF2320

Children's cabinet modified; Department of Children, Youth, and Families established; Department of Education, Department of Human Services, and Department of Public Safety responsibilities transferred to Department of Children, Youth, and Families; reports required; rulemaking authorized; and money appropriated.

MN HF2322

Children's cabinet modified; Department of Children, Youth, and Families established; Departments of Education, Human Services, and Public Safety responsibilities transferred to Department of Children, Youth, and Families; reports required; rulemaking authorized; and money appropriated.