Minnesota 2023-2024 Regular Session

Minnesota House Bill HF926

Introduced
1/26/23  
Refer
1/26/23  
Refer
2/6/23  

Caption

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.

Impact

If enacted, HF926 will substantially impact the way healthcare providers and insurers report payment data to the state. The requirements for health plan companies and third-party administrators to submit comprehensive information regarding both types of payments is expected to create a clearer picture of health expenditures in Minnesota. By requiring that nonclaims-based payments also be reported—payments that focus on value-based care—this bill aims to align financial incentives with patient outcomes, helping to reduce healthcare costs and improve service efficiency across the state.

Summary

House File 926 (HF926) is a significant legislative proposal aimed at enhancing the transparency of healthcare payments in Minnesota. The bill mandates the disclosure of certain payments made to healthcare providers and introduces new regulations governing self-insurers. It makes critical amendments to state statutes concerning all-payer claims data to facilitate better access and reporting of health care expenses. Specifically, HF926 aims to improve the flow of information regarding both claims-based and nonclaims-based payments, thereby supporting a shift towards value-based healthcare that incentivizes quality over quantity in service delivery.

Sentiment

General sentiment surrounding HF926 appears to be cautiously optimistic. Supporters argue that greater transparency in healthcare payments is essential for holding providers accountable and for ensuring patients have access to information about the value of their care. They believe this will foster a more competitive healthcare market that can lead to better patient outcomes. However, there are concerns among certain stakeholders regarding the feasibility of compliance and the potential bureaucratic burden imposed by new reporting requirements, particularly on smaller providers and self-insurers.

Contention

Notably, HF926 has sparked discussions about the balance between increased reporting requirements and the operational realities faced by healthcare providers. One point of contention revolves around the extent to which these new transparency measures could impose additional costs and administrative responsibilities on healthcare entities, which may detract from patient care efforts. Additionally, stakeholders expressed concerns about how the data will be secured and whether the intended benefits in transparency will outweigh the challenges posed by compliance.

Companion Bills

MN SF302

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

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 HF481

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.

MN SF2104

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

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 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 HF294

Manufacturers required to report and maintain prescription drug prices, filing of health plan prescription drug formularies required, health care coverage provisions modified, prescription benefit tool requirements established, and prescription drug benefit transparency and disclosure required.

MN SF5329

Prescription drugs price increases and reporting requirements provisions

MN SF49

Health insurance provisions modifications and appropriations

MN HF2910

Various child care, health, human services, and housing governing provisions modified; forecast adjustments made; technical and conforming changes made; funds allocated; grants established; reports required; and money transferred and appropriated.

MN HF2389

Data calls authorized, group capital calculations established for insurers, insurers required to complete a NAIC liquidity stress test, insurers required to file group capital calculations and results from the NAIC liquidity stress test, insurers required to secure a deposit or bond, limited long-term care insurance provided for and regulated, automobile insurance governing provisions modified, data classified, penalties provided, and technical changes made.

Similar Bills

MN HF481

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.

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 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.

MN HF2321

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 SF2398

Department of Children, Youth, and Families establishment; children's cabinet modification; appropriating money

MN SF2401

Department of Children, Youth, and Families establishment; children's cabinet modification; appropriating money

MN SF2399

Department of Children, Youth, and Families establishment; children's cabinet modification; appropriating money