Modifying the all payer claims database to improve health care quality and cost transparency by changing provisions related to definitions regarding data, reporting and pricing of products, responsibilities of the office of financial management and the lead organization, submission to the database, and parameters for release of information.
Summary
Requires health carriers, third-party administrators, and the Department of Labor and Industries to submit claims data to the all-payer health care claims database.
Requires the Office of Financial Management to use a competitive procurement process to select a lead organization to manage the database, and modifies requirements applicable to the lead organization.
Requires the lead organization to select a data vendor, and establishes responsibilities for the data vendor.
Modifies standards for reports and release of data from the database.
From the Engrossed Substitute House Bill Report (ESSB 5084), written by the Legislature's nonpartisan staff. Read the full report ↗
AN ACT Relating to modifying the all payer claims database to improve health care quality and cost transparency by changing provisions related to definitions regarding data, reporting and pricing of products, responsibilities of the office of financial management and the lead organization, submission to the database, and parameters for release of information;