§ 27-1-44.6-10 — Duties of advisory board

Indiana § 27-1-44.6-10

• Jurisdiction: Indiana
• Title 27: INSURANCE
• Art. 1: DEPARTMENT OF INSURANCE
• Ch. 44.6: All Payer Claims Data Base Advisory Board

Text

(a) The advisory board may make
recommendations to the executive director and administrator regarding
the data base that:
(1) include specific strategies to measure and collect data related
to health care safety and quality, utilization, health outcomes, and
cost;
(2) focus on data elements that foster quality improvement and
peer group comparisons;
(3) facilitate value based, cost effective purchasing of health care
services by public and private purchasers and consumers;
(4) result in usable and comparable information that allows public
and private health care purchasers, consumers, and data analysts
to identify and compare health plans, health insurers, health care
facilities, and health care providers regarding the provision of
safe, cost effective, high quality health care services;
(5) use and build upon existing data collection standards and
methods to establish and maintain the data base in a cost effective
and efficient manner;
(6) are designed to measure the following performance domains:
(A) safety;
(B) timeliness;
(C) effectiveness;
(D) efficiency;
(E) equity; and
(F) patient centeredness;
(7) incorporate and utilize claims, eligibility, and other publicly
available data to the extent it is the most cost effective method of
collecting data to minimize the cost and administrative burden on
data sources;
(8) include recommendations about whether to include data on the
uninsured;
(9) discuss the harmonization of the data base with other state,
regional, and federal efforts concerning all payer claims data
bases;
(10) discuss the harmonization of the data base with federal
legislation concerning all payer claims data bases;
(11) discuss a limit on the number of times the executive director
and administrator may require submission of the required data
elements;
(12) discuss a limit on the number of times the executive director
and administrator may change the required data elements for
submission in a calendar year considering administrative costs,
resources, and time required to fulfill the requests;
(13) discuss compliance with the federal Health Insurance
Portability and Accountability Act (42 U.S.C. 201 et seq.), as
amended, and other proprietary information related to collection
and release of data;
(14) discuss comparing Indiana's health insurance premium rates,
Medicaid reimbursement rates, and Medicare reimbursement
rates with all other states; and
(15) discuss auditing and comparing Indiana's health insurance
reimbursement claim denials with all other states.
(b) The advisory board shall make recommendations to the
executive director regarding how the ongoing oversight of the
operations of the data base should function, including where the data
base should be housed.
(c) Any recommendations or actions by the advisory board are
subject to the approval of the commissioner.

Legislative History

As added by P.L.195-2021, SEC.12. Amended by P.L.203-2023, SEC.20.