The proposed bill establishes a Patient-Centered Care program in Minnesota, aimed at improving health outcomes, reducing costs, and enhancing transparency within public health care programs. It authorizes direct state payments to healthcare providers for services to eligible medical assistance and MinnesotaCare enrollees, and allows the commissioner to contract with administrative services organizations (ASOs) for claims processing. The bill emphasizes care coordination through interdisciplinary teams and community outreach, while also mandating timely access to necessary services and the recruitment of culturally competent providers. It includes amendments to existing statutes, removing references to integrated health partnerships and certain managed care plans, and introduces new definitions related to ASOs and care coordination.

Additionally, the bill seeks to improve healthcare quality measurement and reporting by allowing the commissioner to utilize additional care measures and collaborate with healthcare reporting organizations. It mandates that providers submit information in a specified format and report outcomes publicly, comparing public program patients to those in private plans. Significant changes include the repeal of sections related to payment restructuring and integrated health partnerships, and a prohibition on assessing patient satisfaction with chronic pain management for compensation. The bill also outlines provisions for outpatient prescription drug coverage through accountable care organizations and directs the commissioner to expand demonstration projects to include more enrollees while seeking participation from Medicare and privately insured individuals. Overall, the legislation aims to create a more efficient and equitable healthcare delivery system in Minnesota.

Statutes affected:
Introduction: 62Q.1841, 62U.03, 62U.06, 62W.14, 256B.021, 256B.0625, 256B.072, 256B.0757, 256B.198, 256L.01