The council shall actively encourage research and demonstrations to design and test improved methods of assessing provider quality, provider service effectiveness, efficiency and cost containment. If no data submission requirements in a mandated demonstration exceed the current reserve field on the Pennsylvania Uniform Claims and Billing Form, the council may:
(1) Authorize contractors engaged in health services research selected by the council, under section 3314 (relating to contracts with vendors), to have access to the council's raw data files, if the entity assumes a contractual obligation imposed by the council to assure patient identity confidentiality.
(2) Place data sources participating in research and demonstrations on different data submission requirements from other data sources in this Commonwealth.
(3) Require data source participation in research and demonstration projects if this is the only testing method the council determines is promising.
Structure Pennsylvania Consolidated & Unconsolidated Statutes
Pennsylvania Consolidated & Unconsolidated Statutes
Chapter 33 - Health Care Cost Containment
Section 3301 - Short title of chapter
Section 3303 - Health Care Cost Containment Council
Section 3304 - Powers and duties of council
Section 3305 - Data submission and collection
Section 3306 - Data dissemination and publication
Section 3307 - Mandated health benefits
Section 3308 - Right-to-Know Law and access to council data
Section 3309 - Special studies and reports
Section 3310 - Enforcement and penalty
Section 3311 - Research and demonstration projects
Section 3312 - Grievances and grievance procedures
Section 3313 - Antitrust provisions