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average expense per discharge by the average case weight | for the hospital, using case weights issued by the | federal Centers for Medicare and Medicaid Services. |
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| | Sec. 14. Outpatient cost-efficiency. By January 1, 2006, the Maine | Hospital Association and the Governor's Office of Health Policy | and Finance shall agree on a timetable, format and methodology | for the hospital association to measure and report on outpatient | cost-efficiency. The methodology must use the ambulatory payment | classification system as the unit of cost. |
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| | Sec. 15. Standardization of administrative cost tracking. The Legislature | requests that the Maine Hospital Association develop, by January | 1, 2006, standardized definitions of various administrative cost | categories that hospitals may use when establishing budgets and | reporting on spending on administrative costs. |
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| | Sec. 16. Health care administrative streamlining work group. |
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| | 1. Work group established. The Governor's Office of Health | Policy and Finance shall convene a health care administrative | streamlining work group to facilitate the creation and | implementation of a single portal through which hospitals can | access and transmit member eligibility, benefit and claims | information from multiple insurers. The work group shall | investigate: |
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| A. Funding mechanisms, including seeking outside funding | for start-up and ongoing operational costs, with the | intention that the portal become independent and sustainable | over time; and |
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| B. Ways to ensure that savings resulting from | implementation of such a portal are passed on to purchasers | in the form of rate reductions by hospitals and other | providers and by reductions in administrative costs by | insurers and 3rd-party administrators. |
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| The work group may also consider the incorporation of medical and | quality data to the extent possible in the future. |
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| | 2. Membership. The work group consists of 17 members | appointed by the Governor. The membership of the work group must | reflect the geographic diversity of the State. Members serve as | volunteers and without compensation or reimbursement for | expenses. The membership consists of the following persons: |
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| A. Four members representing community hospitals chosen |
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