LD 1611
pg. 26
Page 25 of 73 PUBLIC Law Chapter 469 Page 27 of 73
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LR 2137
Item 1

 
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.

 
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.

 
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.

 
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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