Bill Text: MN SF1054 | 2011-2012 | 87th Legislature | Introduced
Bill Title: Medical assistance (MA) and MinnesotaCare reform; state contracting with health care providers directly requirement
Spectrum: Partisan Bill (Democrat 4-0)
Status: (Introduced - Dead) 2011-04-04 - Author added Kubly [SF1054 Detail]
Download: Minnesota-2011-SF1054-Introduced.html
1.2relating to accountability and quality in public health care programs; requiring
1.3state contracting directly with health care providers instead of insurance plans;
1.4proposing coding for new law in Minnesota Statutes, chapter 256.
1.5BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.6 Section 1. [256.9631] MEDICAL ASSISTANCE AND MINNESOTACARE
1.7REFORM.
1.8 Subdivision 1. Purpose; intent. (a) To provide coverage under medical assistance
1.9and MinnesotaCare, Minnesota has large contracts totaling over $3,000,000,000 per year in
1.10state funds. The state began contracting these programs out in 1983 as a pilot project with
1.11the hope of saving money. However, the pilot project was never truly evaluated and no
1.12state agency has conducted an audit of these contracts for quality and cost. Under current
1.13practice, the state covers all expenses that the health plans incur whether justified or not.
1.14(b) At a time of state financial troubles, rather than attempt to repair these
1.15dysfunctional contracts, the state can reduce costs and improve care by contracting directly
1.16with medical providers and paying primary care clinics to provide case management to
1.17patients.
1.18 Subd. 2. HMO contracts. The commissioner of human services shall not renew
1.19the state's contracts with HMOs providing services to enrollees in the medical assistance
1.20and MinnesotaCare programs, except for Minnesota seniors health options (MSHO) and
1.21special needs basic care (SNBC). To deal with the complexity of interaction between
1.22Medicare and medical assistance, the commissioner shall continue contracting for health
1.23care for MSHO and SNBC. The commissioner shall continue to contract with counties
2.1providing care through county-based purchasing systems. For all other enrollees, the
2.2commissioner shall contract directly with health care providers to deliver covered services.
2.3 Subd. 3. Scope. The commissioner shall contract directly with health care providers
2.4for current and future eligible medical assistance and MinnesotaCare enrollees in order
2.5to achieve better health outcomes, track health care expenditures, and reduce the cost of
2.6health care for the state.
2.7 Subd. 4. Case management. (a) The commissioner shall use the primary care case
2.8management (PCCM) model for coordinating services for enrollees who choose a primary
2.9care provider to act as the enrollee's case manager. Primary care physicians, clinics, nurses,
2.10and other qualified medical professionals may provide primary care case management.
2.11(b) Providers shall bill the state directly for the services they provide. Primary
2.12care providers who offer PCCM shall also receive a flat per-member per-month fee. The
2.13commissioner shall determine fees for the following groups:
2.14(1) children;
2.15(2) adults; and
2.16(3) the elderly.
2.17 The commissioner shall set a higher PCCM fee based on the level of medical and
2.18social complexity for patients with chronic or complex conditions or disabilities.
2.19(c) The primary care provider (PCP) shall provide overall oversight of the enrollee's
2.20health and coordinate with any other case manager of the enrollee as well as ensure
2.2124-hour access to health care, emergency treatment, and referrals.
2.22(d) The commissioner shall collaborate with community health clinics and social
2.23service providers through planning and financing to provide outreach, medical care, and
2.24case management services in the community for patients who, because of homelessness or
2.25other circumstances, are unlikely to obtain needed care.
2.26(e) The commissioner shall collaborate with medical and social service providers
2.27through planning and financing to reduce hospital readmissions by providing discharge
2.28planning and services, including medical respite and transitional care for patients leaving
2.29medical facilities and mental health and chemical dependency treatment programs.
2.30 Subd. 5. Duties. (a) For enrollees, the commissioner shall:
2.31(1) maintain a hotline and Web site to assist enrollees in locating providers;
2.32(2) provide a nurse consultation helpline 24 hours per day, seven days a week; and
2.33(3) contact enrollees based on claims data who have not had preventive visits and
2.34help them select a PCP.
2.35(b) For the state fiscal management, the commissioner shall:
2.36(1) track utilization rates in all levels of service; and
3.1(2) track health care targets which include:
3.2 (i) improved health outcomes for enrollees;
3.3 (ii) reduction in avoidable costs, unnecessary emergency room visits, and inpatient
3.4utilization;
3.5 (iii) improved care coordination;
3.6 (iv) improved patient self-management knowledge and treatment of chronic disease;
3.7and
3.8 (v) improved implementation of evidence-based clinical practice guidelines.
3.9(c) For providers, the commissioner shall:
3.10(1) review provider reimbursement rates to ensure reasonable and fair compensation;
3.11(2) ensure that providers are reimbursed on a timely basis; and
3.12(3) collaborate with providers to explore means of improving health care quality
3.13and reducing costs.
1.3state contracting directly with health care providers instead of insurance plans;
1.4proposing coding for new law in Minnesota Statutes, chapter 256.
1.5BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.6 Section 1. [256.9631] MEDICAL ASSISTANCE AND MINNESOTACARE
1.7REFORM.
1.8 Subdivision 1. Purpose; intent. (a) To provide coverage under medical assistance
1.9and MinnesotaCare, Minnesota has large contracts totaling over $3,000,000,000 per year in
1.10state funds. The state began contracting these programs out in 1983 as a pilot project with
1.11the hope of saving money. However, the pilot project was never truly evaluated and no
1.12state agency has conducted an audit of these contracts for quality and cost. Under current
1.13practice, the state covers all expenses that the health plans incur whether justified or not.
1.14(b) At a time of state financial troubles, rather than attempt to repair these
1.15dysfunctional contracts, the state can reduce costs and improve care by contracting directly
1.16with medical providers and paying primary care clinics to provide case management to
1.17patients.
1.18 Subd. 2. HMO contracts. The commissioner of human services shall not renew
1.19the state's contracts with HMOs providing services to enrollees in the medical assistance
1.20and MinnesotaCare programs, except for Minnesota seniors health options (MSHO) and
1.21special needs basic care (SNBC). To deal with the complexity of interaction between
1.22Medicare and medical assistance, the commissioner shall continue contracting for health
1.23care for MSHO and SNBC. The commissioner shall continue to contract with counties
2.1providing care through county-based purchasing systems. For all other enrollees, the
2.2commissioner shall contract directly with health care providers to deliver covered services.
2.3 Subd. 3. Scope. The commissioner shall contract directly with health care providers
2.4for current and future eligible medical assistance and MinnesotaCare enrollees in order
2.5to achieve better health outcomes, track health care expenditures, and reduce the cost of
2.6health care for the state.
2.7 Subd. 4. Case management. (a) The commissioner shall use the primary care case
2.8management (PCCM) model for coordinating services for enrollees who choose a primary
2.9care provider to act as the enrollee's case manager. Primary care physicians, clinics, nurses,
2.10and other qualified medical professionals may provide primary care case management.
2.11(b) Providers shall bill the state directly for the services they provide. Primary
2.12care providers who offer PCCM shall also receive a flat per-member per-month fee. The
2.13commissioner shall determine fees for the following groups:
2.14(1) children;
2.15(2) adults; and
2.16(3) the elderly.
2.17 The commissioner shall set a higher PCCM fee based on the level of medical and
2.18social complexity for patients with chronic or complex conditions or disabilities.
2.19(c) The primary care provider (PCP) shall provide overall oversight of the enrollee's
2.20health and coordinate with any other case manager of the enrollee as well as ensure
2.2124-hour access to health care, emergency treatment, and referrals.
2.22(d) The commissioner shall collaborate with community health clinics and social
2.23service providers through planning and financing to provide outreach, medical care, and
2.24case management services in the community for patients who, because of homelessness or
2.25other circumstances, are unlikely to obtain needed care.
2.26(e) The commissioner shall collaborate with medical and social service providers
2.27through planning and financing to reduce hospital readmissions by providing discharge
2.28planning and services, including medical respite and transitional care for patients leaving
2.29medical facilities and mental health and chemical dependency treatment programs.
2.30 Subd. 5. Duties. (a) For enrollees, the commissioner shall:
2.31(1) maintain a hotline and Web site to assist enrollees in locating providers;
2.32(2) provide a nurse consultation helpline 24 hours per day, seven days a week; and
2.33(3) contact enrollees based on claims data who have not had preventive visits and
2.34help them select a PCP.
2.35(b) For the state fiscal management, the commissioner shall:
2.36(1) track utilization rates in all levels of service; and
3.1(2) track health care targets which include:
3.2 (i) improved health outcomes for enrollees;
3.3 (ii) reduction in avoidable costs, unnecessary emergency room visits, and inpatient
3.4utilization;
3.5 (iii) improved care coordination;
3.6 (iv) improved patient self-management knowledge and treatment of chronic disease;
3.7and
3.8 (v) improved implementation of evidence-based clinical practice guidelines.
3.9(c) For providers, the commissioner shall:
3.10(1) review provider reimbursement rates to ensure reasonable and fair compensation;
3.11(2) ensure that providers are reimbursed on a timely basis; and
3.12(3) collaborate with providers to explore means of improving health care quality
3.13and reducing costs.
