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S.F. No. 2106 - All-Payer Claims Data (First Engrossment)
 
Author: Senator Tony Lourey
 
Prepared By:
 
Date: March 14, 2014



 

SF 2106 makes a number of changes to the uses of the all-payer claims data currently collected by the Department of Health, and creates an advisory work group to advise the Commissioner of Health on expanding the uses of this data.

Section 1 (62U.04, subd. 4) requires the Commissioner of Health to compile summary information on data, and clarifies that the commissioner shall work with the vendors to assess the all-payer claims data that is being submitted in terms of compliance and completeness in order to ensure data quality.

Section 2 (62U.04, subd. 10) suspends the development and implementation of the provider peer grouping system by the Commissioner of Health and specifies that this suspension shall continue until the legislature authorizes the commissioner to resume working on this activity.

Section 3 (62U.04, subd. 11) permits the commissioner to use the all-payer claims data for the following purposes:  (1) to evaluate the performance of the health care home program; (2) to study hospital readmission trends and rates; (3) to analyze variations in health care costs, quality, utilization, and illness burdens based on geographical areas or populations; and (4) to evaluate the state innovation model (SIM) testing grant.  The commissioner may publish the results of the authorized uses, so long as the data does not include identifying data.  This section also specifies that the commissioner may only use this data for the purpose described under clause (3) until July 1, 2016.

Section 4 (62U.04, subd. 12) requires the commissioner to convene a working group to develop a framework for the expanded use of the all-payer claims database.  This work group shall develop recommendations surrounding the parameters for allowable uses; the type of advisory or governing body that should guide the release of this data; the types of funding or fee structure needed to support any expanded uses; the mechanisms in which the data would be released or accessed; the appropriate privacy and security protections that would need to be in place; the resources that may be needed to support the expanded use of the database; and other topics that the group identifies.  The commissioner must submit a report to the legislature on the work group’s recommendations by February 1, 2015.

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