Form 440-4872 - Standards For Filing Individual And Small Group Health Benefit Plan Rates - Oregon Department Of Consumer And Business Service Page 14

ADVERTISEMENT

GENERAL REQUIREMENTS FOR ALL SMALL GROUP AND INDIVIDUAL HBP RATE FILINGS
Category
Reference
Description of review standards requirements
Answers
Page #
Includes information about whether the cost containment initiatives
reduce costs by eliminating waste, improving efficiency, by improving
health outcomes through incentives, or by elimination or reduction of
covered services or reduction in the fees paid to providers for services
STANDARD
Please refer to provided template.
Yes
N/A
REVIEW
QUESTIONS
A document labeled STANDARD REVIEW QUESTIONS that answers the
questions provided in the template.
(Appendix III)
Cost and Quality
Oregon Health
Fill out the following information on the provided template.
Yes
N/A
Metrics
Policy Board
Provide, for public review, the following metrics, as recommended by the
Oregon Health Policy Board:
Recommendation to Governor Kitzhaber
1. Utilization per 1,000 members and per member per month costs for
a. Inpatient Admissions/Days
b. Outpatient Visits
c. Emergency Department Visits
d. Primary Care Visits
e. Specialty Care Visits
f.
Rx Scripts
g. Other Claims
2. Quality metrics for CY2013, as reported to the following entities
a. NCQA:
i. Breast Cancer Screening
ii. Comprehensive Diabetes Care: Hemoglobin A1c
(HbA1c) Testing
b. CCO Metrics:
i. Follow-Up After Hospitalization for Mental Illness*
ii. Developmental Screening in the First Three Years of
Life*
iii. CAHPS: Access to Care*
440-4872 (4/4/13 INS)
14

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Oregon Broker-dealer Affidavit Form - Oregon Department Of Consumer And Business Services Oregon Broker-dealer Affidavit Form - Oregon Department Of Consumer And Business Services Legal
Form Odh 206 Oklahoma Standard Authorization To Use Or Share Protected Health Information (phi) - Oklahoma State Department Of Health Form Odh 206 Oklahoma Standard Authorization To Use Or Share Protected Health Information (phi) - Oklahoma State Department Of Health Legal
Form Dss-1432 - Application For Disaster Food And Nutrition Services - North Carolina Division Of Social Services Form Dss-1432 - Application For Disaster Food And Nutrition Services - North Carolina Division Of Social Services Legal
Form De 428c - Suggested Format For Filing A Written Protest To The De 428t - Employment Development Department Of California Form De 428c - Suggested Format For Filing A Written Protest To The De 428t - Employment Development Department Of California Legal
Form 8843 Draft - Statement For Exempt Individuals And Individuals With A Medical Condition - 2016 Form 8843 Draft - Statement For Exempt Individuals And Individuals With A Medical Condition - 2016 Financial
Form R-5621i - Instructions For Filing State And Parish And Municipal Beer Tax Return Form R-5621i - Instructions For Filing State And Parish And Municipal Beer Tax Return Financial
Form No 2 - Affidavit - For Obtaining Passport And Consular Services Form No 2 - Affidavit - For Obtaining Passport And Consular Services Legal
Form Sna-1023a - Agreement For Work Experience And Community Service Activities Form Sna-1023a - Agreement For Work Experience And Community Service Activities Legal
Form Bfs-152 - Application For Basic Driver Improvement Course Program Electronic Funds Transfer (eft) - Michigan Department Of State Form Bfs-152 - Application For Basic Driver Improvement Course Program Electronic Funds Transfer (eft) - Michigan Department Of State Legal
Request For A Certificate Of Name Compliance - Oregon Department Of Consumer And Business Services Request For A Certificate Of Name Compliance - Oregon Department Of Consumer And Business Services Legal

Related Categories

Parent category: Legal
Download
Go
Page of 14