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determine, in collaboration with the superintendent, | | appropriate actuarially supported trend factors that reflect | | savings consistent with subsection 1 and compare rates of | | spending growth to the base year of 2002.__The board shall | | collect on an annual basis, in consultation with the | | superintendent, the total cost to the State's health care | | providers of bad debt and charity care beginning with the base | | year of 2002.__This information may be compiled through | | mechanisms, including, but not limited to, standard reporting | | or statistically accurate surveys of providers and | | practitioners. The board shall utilize existing data on file | | with state agencies or other organizations to minimize | | duplication. The comparisons to the base year must be reported | | beginning March 1, 2004 and annually thereafter. |
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| | | C.__Health insurance carriers and health care providers | | shall report annually, beginning March 1, 2005 and | | thereafter, information regarding the experience of a prior | | 12-month period on the efforts undertaken by the carrier and | | provider to recover savings offset payments, as reflected in | | reimbursement rates, through a reduction or stabilization in | | bad debt and charity care costs as a result of the operation | | of Dirigo Health and any increased enrollment due to an | | expansion in MaineCare eligibility occurring after June 30, | | 2004.__The board shall determine the appropriate format for | | the report and utilize existing data on file with state | | agencies or other organizations to minimize duplication. The | | report must be submitted to the board. Using the information | | submitted by carriers and providers, the board shall submit | | a summary of that information by October 1, 2005 and | | annually thereafter. |
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| | | D.__The quarterly reports required to be submitted by the | | board pursuant to paragraph A and the annual reports | | required to be submitted by the board pursuant to paragraphs | | B and C must be submitted to the superintendent, to the | | joint standing committee of the Legislature having | | jurisdiction over appropriations and financial affairs, to | | the joint standing committee of the Legislature having | | jurisdiction over insurance and financial services matters, | | and to the joint standing committee of the Legislature | | having jurisdiction over health and human services matters. |
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| | | 9.__Demonstration of offset.__As provided in sections 2736-C, | | 2808-B and 2839-B, the claims experience used to determine any | | filed premiums or rating formula must reasonably reflect, in | | accordance with accepted actuarial standards, known changes and | | offsets in payments by the carrier to health care providers in | | this State, including any reduction or avoidance of bad debt and | | charity care costs to health care providers in this |
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