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M.S.A. §62U.02
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Payment restructuring; quality incentive payments
All health care services offered by providers or by medical homes must be assessed based on quality measures established by the Commissioner of Health. The measures to be used must be consistent, be cost efficient as to providers, be initially based on existing quality indicators for physician and hospital services, prioritize outcome measures, and incorporate measures for primary and preventative care. The additional requirements imposed on the Commissioner are to establish outcome measures, establish a system for risk adjusting quality measures, and to issue reports. Health plans must also employ the standardized quality measures to be used by its providers
The state of Minnesota also has a system for quality incentive payments to eligible providers based on comparison of the provider’s quality measures against specified targets.
Related Laws: M.S.A. §62U.04
Current as of June 2015