Section 2995-C. Health care plan and preferred provider organization data  


Latest version.
  • 1.  Collection. The department shall collect  for  dissemination  via  a
      statewide  health information system, any health care plan and preferred
      provider organization data collected for public  dissemination  pursuant
      to  the  quality  assurance  reporting  requirements  developed  by  the
      department  in  conjunction  with  the  national  committee  on  quality
      assurance.
        2.  Preparation  of  data  and  public  review.  The  department shall
      thereafter prepare the collected health care plan and preferred provider
      organization data for dissemination. The department shall  provide  each
      health  care  plan  with  a  copy  of the health care plan and preferred
      provider organization data to be disseminated concerning it. In a manner
      and time required by the department,  the  health  care  plan  shall  be
      provided  with  an  opportunity  to correct factual inaccuracies, and to
      file a statement in a form prescribed by the department  concerning  the
      data, which statement shall be disseminated with the data.
        3.  Dissemination.  The  department  shall  thereafter disseminate the
      collected health care plan and  preferred  provider  organization  data,
      organized  and  segregated  by  type of product and type of organization
      offering the product, with  corrections  and  statements,  if  any.  The
      department  shall  share  preferred  provider organization data with the
      superintendent of insurance.
        (a)  Thereafter,  the  health  care  plan   and   preferred   provider
      organization  data so disseminated shall be updated at regular intervals
      to be determined by the committee.
        (b) All health care plan  and  preferred  provider  organization  data
      disseminated  shall include the following statement: "THE DATA COLLECTED
      BY THE DEPARTMENT IS ACCURATE TO THE BEST OF THE  KNOWLEDGE  OF  MEMBERS
      AND  STAFF,  BASED  ON  THE INFORMATION SUPPLIED BY THE HEALTH CARE PLAN
      WHICH IS THE SUBJECT OF THE DATA."
        (c) If the department determines that  any  data  to  be  disseminated
      pursuant  to  this  section  is not useful for determinations concerning
      health care quality, the department shall recommend to  the  legislature
      the necessary statutory changes.