2017 Session

Budget Amendments - HB1500 (Conference Report)

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Shared Savings Incentive Program (language only)

Item 85 #1c

Item 85 #1c

Administration of Health Insurance


Page 76, after line 18 insert:

"J. The Department of Human Resources Management shall identify the requirements, costs, and benefits of implementing a shared-savings incentive program for state-employed, public sector or retired enrollees who elect to shop and receive health care services at a lower cost than the average price paid by their carrier for a comparable health care service.  Under such a program, the Department shall develop a plan to reimburse the insured for using a lower cost site of service. The cash payment incentive could be calculated as a percentage or as a flat dollar amount, or by some reasonable methodology determined by the Department.  The Department shall determine whether to administer the program itself or through a third-party, or to require carriers to offer access to such a program for health care services eligible for shared incentives and estimate the projected fiscal impact of the program. No later than November 1, 2017 the Department shall report to the Chairmen of the House Appropriations and Senate Finance Committees."        


(This amendment directs the Department of Human Resource Management to identify the requirements, costs and benefits of implementing a state employee shared savings incentive program and report on its findings to the Chairmen of the House Appropriations and Senate Finance Committees by November 1, 2017.)