| | | gathering and other activities and revenue deposited in the fund.__ | | The board shall determine an appropriate rate of increase for the | | global budget based upon the quality of care under the plan, | | access to care under the plan, the economic impact of the plan on | | gross state product, employment and per capita income and the | | projected revenues to be deposited in the fund.__Beginning | | January 1, 2000 and through December 31, 2001, the board shall | | allow a rate of increase for the global budget not to exceed the | | rate of increase in the gross state product plus 2 percent. |
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| | | §9811.__High-quality, affordable health care |
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| | | In coordination with the administrator, the board shall ensure | | that the health plan members receive high-quality, affordable | | health services. |
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| | | 1.__Quality assurance.__The board shall develop methods of | | quality analysis for analyzing the data to determine the quality | | and cost-effectiveness of the care provided by participating | | providers.__The board may consult the quality improvement | | foundation designated by the Maine Health Data Organization | | pursuant to section 8704, to assist it in this process. |
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| | | 2.__Cost containment.__In order to control costs and ensure | | that funds are used for maximum service delivery, to the maximum | | extent feasible the board shall: |
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| | | A.__Eliminate administrative and other costs that do not | | contribute to health care; |
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| | | B.__Identify and eliminate wasteful and unnecessary care | | that is of no benefit to patients receiving that care; |
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| | | C.__Identify and foster those measures that prevent disease | | and maintain health; |
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| | | D.__Identify and implement managed care techniques that | | contain costs and improve the quality of care; and |
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| | | E.__Take other steps as necessary to ensure that the rate of | | increase allowed by the global budget is not exceeded. |
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| | | §9812.__Data collection and monitoring |
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| | | 1.__Data collection.__The board shall advise and assist the | | data collection activities of the Maine Health Data Organization | | under chapter 1683. |
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| | | 2.__Analysis of data. The board shall analyze data necessary | | for the functioning of the plan, including, but not |
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