Massachusetts General Laws
Chapter 12c - Center for Health Information and Analysis
Section 18 - Analysis of Data Received Under Secs. 6, 9 and 10 to Identify Excessive Increases in Health Status Adjusted Total Medical Expense

Section 18. The center shall perform ongoing analysis of data it receives under sections 6, 9 and 10 to identify any payers, providers or provider organizations whose increase in health status adjusted total medical expense is considered excessive and who threaten the ability of the state to meet the health care cost growth benchmark established by the health care finance and policy commission under section 10 of chapter 6D. The center shall confidentially provide a list of the payers, providers and provider organizations to the health policy commission such that the authority may pursue further action under section 10 of chapter 6D.

Structure Massachusetts General Laws

Massachusetts General Laws

Part I - Administration of the Government

Title II - Executive and Administrative Officers of the Commonwealth

Chapter 12c - Center for Health Information and Analysis

Section 1 - Definitions

Section 2 - Center for Health Information and Analysis; Executive Director; Term; Removal

Section 2a - Health Information and Analysis Oversight Council; Members; Meetings; Powers and Duties

Section 3 - Agents, Officers and Employees; Appointment; Powers and Duties

Section 4 - Salaries; Personnel Regulations

Section 5 - Adoption of Rules and Regulations

Section 6 - Powers

Section 7 - Payment by Acute Hospital, Ambulatory Surgical Center or Surcharge Payor for Estimated Expenses of Center and Other Purposes Under This Chapter

Section 8 - Reporting Requirements for Institutional Providers and Their Parent Organization and Other Affiliates

Section 9 - Reporting Requirements for Registered Provider Organizations

Section 10 - Reporting Requirements for Private and Public Health Care Payers and Third-Party Administrators

Section 11 - Timely Reporting of Information Required Under Secs. 8, 9 and 10

Section 12 - Collection, Storage and Maintenance of Data Collected Under Secs. 8, 9 and 10; Payer and Provider Claims Database; Access to Data

Section 13 - Uniform Provider Licensure Reporting System

Section 14 - Standard Quality Measure Set

Section 15 - Betsy Lehman Center for Patient Safety and Medical Error Reduction; Board; Education and Research Program

Section 16 - Annual Report Based on the Information Submitted Under Secs. 8, 9 and 10; Hearing

Section 17 - Attorney General Review and Analysis of Information Submitted Under Secs. 8, 9 and 10 and Under Sec. 8 of Chapter 6d; Authority to Compel Production of Documents, Answers to Interrogatories and Testimony

Section 18 - Analysis of Data Received Under Secs. 6, 9 and 10 to Identify Excessive Increases in Health Status Adjusted Total Medical Expense

Section 19 - Review and Comment Upon Capital Expenditure Projects Requiring Determination of Need Under Sec. 25c of Chapter 111

Section 20 - Consumer Health Information Website

Section 21 - Continuing Program of Investigation and Study of the Uninsured and Underinsured

Section 21a - Continuing Program of Investigation and Study of Mental Health, Chronic Pain and Substance Use Disorders

Section 22 - Conditions for Reimbursement or Payment for Treatment of Injured Workers Under Chapter 152 or From Governmental Unit; Penalty for Noncompliance

Section 23 - Transfer of Funds to Community Hospital Reinvestment Trust Fund

Section 24 - Report on the Provision of Continuous Skilled Nursing Care