§ 9413. Health care quality and price comparison
Each health insurer with more than 200 covered lives in this State shall establish an Internet-based tool to enable its members to compare the price of health care in Vermont by service or procedure, including office visits, emergency care, radiologic services, and preventive care such as mammography and colonoscopy. The tool shall include provider quality information as available and to the extent consistent with other applicable laws and regulations. The tool shall allow members to compare price by selecting a specific service or procedure and a geographic region of the State. Based on the criteria specified, the tool shall provide the member with an estimate for each provider of the amount the member would pay for the service or procedure, an estimate of the amount the insurance plan would pay, and an estimate of the combined payments. The price information shall reflect the cost-sharing applicable to a member’s specific plan, as well as any remaining balance on the member’s deductible for the plan year. (Added 2015, No. 54, § 20, eff. July 1, 2016.)
Structure Vermont Statutes
Chapter 221 - Health Care Administration
§ 9405. State Health Improvement Plan; Health Resource Allocation Plan
§ 9405a. Public participation and strategic planning
§ 9405b. Hospital community reports and ambulatory surgical center quality reports
§ 9405c. Notice of acquisition
§ 9408. Common claims forms and procedures
§ 9408a. Uniform provider credentialing
§ 9409. Health care provider bargaining groups
§ 9411. Interactive price transparency dashboard
§ 9413. Health care quality and price comparison
§ 9414. Quality assurance for managed care
§ 9414a. Annual reporting by health insurers
§ 9416. Vermont Program for Quality in Health Care
§ 9417. Tax-advantaged accounts for health-related expenses; administration; rulemaking
§ 9418. Payment for health care services
§ 9418a. Processing claims, downcoding, and adherence to coding rules
§ 9418c. Fair contract standards
§ 9418e. Most favored nation clauses prohibited
§ 9418f. Rental network contracts
§ 9419. Charges for access to medical records
§ 9420. Conversion of nonprofit hospitals
§ 9422. Credit card payments optional for providers
§ 9434. Certificate of need; general rules
§ 9439. Competing applications
§ 9440a. Applications, information, and testimony; oath required
§ 9440b. Information technology; review procedures
§ 9443. Expiration of certificates of need
§ 9444. Revocation of certificates; material change
§ 9446. Home health agencies; geographic service areas
§ 9457. Information available to the public
§ 9462. Quality improvement projects
§ 9472. Pharmacy benefit managers; required practices with respect to health insurers
§ 9473. Pharmacy benefit managers; required practices with respect to pharmacies
§ 9473. Pharmacy benefit managers; required practices with respect to pharmacies
§ 9482. Financial assistance policies for large health care facilities
§ 9483. Implementation of financial assistance policy
§ 9484. Public education and information
§ 9485. Prohibition on sale of medical debt