LD 1673
pg. 12
Page 11 of 16 An Act To Implement the Recommendations of the Commission to Study Maine's Comm... Page 13 of 16
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LR 2373
Item 1

 
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.

 
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.

 
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.

 
Sec. 16. Health care administrative streamlining work group.

 
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:

 
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

 
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.

 
The work group may also consider the incorporation of medical and
quality data to the extent possible in the future.

 
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:

 
A. Four members representing community hospitals chosen


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