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| 3.__Efficiency of care.__The agency shall establish an efficiency- | of-care program and shall adopt rules to implement that program.__ | Rules adopted pursuant to this subsection are routine technical | rules as defined in Title 5, chapter 375, subchapter 2-A.__The | agency shall review health care malpractice insurance costs and | shall work with organized delivery systems, participating providers | and insurers to ensure that the resources of the fund are used for | maximum service delivery.__The agency shall develop claims handling | and data collection methods and forms, including, but not limited | to, uniform billing forms and procedures to facilitate the exchange | of information and communication between the agency and | participating providers. |
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| | 4.__Health planning.__The agency shall establish a health | planning program and adopt rules to implement that program.__ | Rules adopted pursuant to this subsection are routine technical | rules as defined in Title 5, chapter 375, subchapter 2-A.__Health | planning must be considered in light of the programs on quality, | affordability and efficiency established under subsections 1 to | 3.__The program must include, but is not limited to: |
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| A.__Global budgets for all expenditures of the plan for the | base year of the plan and for each following year based on | the level of expenditures in the preceding year as increased | by the percentage of increase in the average per capita | personal income applicable to the State, as developed by the | United States Department of Commerce; |
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| B.__Global budgets for hospitals and institutional providers | with adjustments for case mix, volume and region and | separate capital budgets for hospitals and institutional | providers; |
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| C.__A certificate of need program, pursuant to chapter 103- | A; |
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| D.__A health planning program; and |
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| E.__Data collection regarding health care needs, resources | and expenditures. |
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| FINANCING OF THE MAINE HEALTH CARE PLAN |
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| §374.__Financing of Maine Health Care Plan |
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| | Financing of the plan is accomplished by the fund. |
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