Sec. 848.106. QUALITY AND COST OF HEALTH CARE SERVICES. (a) A health care collaborative shall establish policies to improve the quality and control the cost of health care services provided by participating physicians and health care providers that are consistent with prevailing professionally recognized standards of medical practice. The policies must include standards and procedures relating to:
(1) the selection and credentialing of participating physicians and health care providers;
(2) the development, implementation, monitoring, and evaluation of evidence-based best practices and other processes to improve the quality and control the cost of health care services provided by participating physicians and health care providers, including practices or processes to reduce the occurrence of potentially preventable events;
(3) the development, implementation, monitoring, and evaluation of processes to improve patient engagement and coordination of health care services provided by participating physicians and health care providers; and
(4) complaints initiated by participating physicians, health care providers, and patients under Section 848.107.
(b) The governing body of a health care collaborative shall establish a procedure for the periodic review of quality improvement and cost control measures.
Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 4.01, eff. September 28, 2011.
Structure Texas Statutes
Title 6 - Organization of Insurers and Related Entities
Subtitle C - Life, Health, and Accident Insurers and Related Entities
Chapter 848 - Health Care Collaboratives
Subchapter C. General Powers and Duties of Health Care Collaborative
Section 848.101. Providing or Arranging for Services
Section 848.102. Insurance, Reinsurance, Indemnity, and Reimbursement
Section 848.103. Payment by Governmental or Private Entity
Section 848.104. Contracts for Administrative or Management Services
Section 848.105. Corporation, Partnership, or Association Powers
Section 848.106. Quality and Cost of Health Care Services
Section 848.107. Complaint Systems
Section 848.108. Delegation Agreements
Section 848.109. Validity of Operations and Trade Practices of Health Care Collaboratives
Section 848.110. Rights of Physicians; Limitations on Participation