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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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