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2019 SESSION

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SB 1611 Health care shared savings; incentive programs.

Introduced by: Siobhan S. Dunnavant | all patrons    ...    notes | add to my profiles | history

SUMMARY AS PASSED:

Health care shared savings; incentive programs. Requires health carriers to establish a comparable health care service incentive program under which savings are shared with a covered person who elects to receive a covered comparable health care service from a lower-cost provider. Incentive payments are not required for savings of $25 or less. The measure requires health carriers to comply with transparency requirements beginning with health benefit plans offered or renewed on or after July 1, 2020. Programs are required to be approved by the Commissioner of Insurance. This bill is identical to HB 2639.

SUMMARY AS PASSED SENATE:

Health care shared savings; incentive programs. Requires health carriers to establish a comparable health care service incentive program under which savings are shared with a covered person who elects to receive a covered health care service from a lower-cost provider. Incentive payments are not required for savings of $25 or less. Programs are required to be approved by the Commissioner of Insurance.

SUMMARY AS INTRODUCED:

Health care shared savings; incentive programs. Requires health carriers to establish a comparable health care service incentive program under which savings are shared with a covered person who elects to receive a covered health care service from a lower-cost provider. Incentive payments are not required for savings of $25 or less. Programs are required to be approved by the Commissioner of Insurance. The measure also requires health carriers to make available an interactive mechanism on their website that enables a covered person to calculate estimated out-of-pocket costs for comparable health care services from network providers and obtain quality data for those providers, to the extent available.