2995-c. Health care plan and preferred provider organization data. 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 financial services.
(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.
Last modified: February 3, 2019