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 rendered to eligible medical assistance and MinnesotaCare enrollees, while allowing the commissioner to contract with administrative services organizations (ASOs) for claims processing and administrative tasks. The bill emphasizes care coordination through interdisciplinary teams and community outreach to assist individuals in accessing necessary care. It also includes amendments to existing statutes, removing references to integrated health partnerships and certain managed care plans, while introducing new definitions and provisions related to ASOs and care coordination.

Additionally, the bill seeks to enhance healthcare quality and patient experience by integrating care factors into payment models and establishing demonstration sites for both fee-for-service and managed care recipients. It proposes changes to asset limits and residency requirements for certain Medicaid recipients, redesigns home and community-based services, and addresses the coordination of services for individuals with complex health needs. The bill mandates improved measurement and reporting of healthcare quality, allowing the commissioner to utilize additional care measures and requiring healthcare providers to report outcomes publicly. Significant changes include the repeal of sections related to payment restructuring and integrated health partnerships, and the introduction of provisions for outpatient prescription drug coverage through accountable care organizations, contingent upon federal approval.

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