| << Previous Section (26-33a-106) | Next Section (26-33a-106.5) >> |
Utah Health Code | |
Utah Health Data Authority Act | |
Section 106.1 | Health care cost and reimbursement data. |
|
26-33a-106.1. Health care cost and reimbursement data. (1) (a) The committee shall, as funding is available, establish an advisory panel to advise the committee on the development of a plan for the collection and use of health care data pursuant to Subsection 26-33a-104(6) and this section. (b) The advisory panel shall include: (i) the chairman of the Utah Hospital Association; (ii) a representative of a rural hospital as designated by the Utah Hospital Association; (iii) a representative of the Utah Medical Association; (iv) a physician from a small group practice as designated by the Utah Medical Association; (v) two representatives who are health insurers, appointed by the committee; (vi) a representative from the Department of Health as designated by the executive director of the department; (vii) a representative from the committee; (viii) a consumer advocate appointed by the committee; (ix) a member of the House of Representatives appointed by the speaker of the House; and (x) a member of the Senate appointed by the president of the Senate. (c) The advisory panel shall elect a chair from among its members, and shall be staffed by the committee. (2) (a) The committee shall, as funding is available: (i) establish a plan for collecting data from data suppliers, as defined in Section 26-33a-102, to determine measurements of cost and reimbursements for risk adjusted episodes of health care; (ii) assist the demonstration projects implemented by the Insurance Department pursuant to Section 31A-22-614.6, with access to cost data, reimbursement data, care process data, and provider service data necessary for the demonstration projects' research, statistical analysis, and quality improvement activities: (A) notwithstanding Subsection 26-33a-108(1) and Section 26-33a-109; (B) contingent upon approval by the committee; and (C) subject to a contract between the department and the entity providing analysis for the demonstration project; (iii) share data regarding insurance claims with insurers participating in the defined contribution market created in Title 31A, Chapter 30, Part 2, Defined Contribution Arrangements, only to the extent necessary for: (A) renewals of policies in the defined contribution arrangement market; and (B) risk adjusting in the defined contribution arrangement market; and (iv) assist the Legislature and the public with awareness of, and the promotion of, transparency in the health care market by reporting on: (A) geographic variances in medical care and costs as demonstrated by data available to the committee; and (B) rate and price increases by health care providers: (I) that exceed the Consumer Price Index - Medical as provided by the United States Bureau of Labor statistics; (II) as calculated yearly from June to June; and (III) as demonstrated by data available to the committee. (b) The plan adopted under this Subsection (2) shall include: (i) the type of data that will be collected; (ii) how the data will be evaluated; (iii) how the data will be used; (iv) the extent to which, and how the data will be protected; and (v) who will have access to the data.
Amended by Chapter 68, 2010 General Session |
| << Previous Section (26-33a-106) | Next Section (26-33a-106.5) >> |