HOUSE DOCKET, NO. 1605        FILED ON: 1/15/2015

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 999

 

The Commonwealth of Massachusetts

_________________

PRESENTED BY:

Kevin G. Honan

_________________

To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
Court assembled:

The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:

An Act relative to the Masshealth program.

_______________

PETITION OF:

 

Name:

District/Address:

Date Added:

Kevin G. Honan

17th Suffolk

1/15/2015


HOUSE DOCKET, NO. 1605        FILED ON: 1/15/2015

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 999

By Mr. Honan of Boston, a petition (accompanied by bill, House, No. 999) of Kevin G. Honan that the center for health information and analysis report the weighted average payer rate for each acute care hospital.  Health Care Financing.

 

The Commonwealth of Massachusetts

 

_______________

In the One Hundred and Eighty-Ninth General Court
(2015-2016)

_______________

 

An Act relative to the Masshealth program.

 

Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority of the same, as follows:
 

SECTION 1.  Section 16 of the chapter 12C of the General Laws, as appearing in the 2012 Official Edition, is hereby amended by adding the following subsection:-

(d)  The center shall publicly report the weighted average payer rate for each acute care hospital in the commonwealth.  The weighted average payer rate shall be defined as the average of the sum of inpatient revenue per discharge and outpatient revenue per visit received by the hospital from commercial carriers, MassHealth, and the Medicare program, as weighted by the net patient service revenue payer mix of commercial carriers, so-called, MassHealth and Medicare, respectively. The report shall also include the median weighted average payer rate for all acute care hospitals in the commonwealth.

SECTION 2.  Section 67 of chapter 118E of the General Laws, as so appearing, is hereby amended by adding the following subsection:-

(c)  Each acute care hospital that has a weighted average payer rate that is more than twenty percent above the median for all acute care hospitals in the commonwealth, as determined by the center for health information and analysis, shall be liable to the fund in an amount equal to twenty percent of the amount by which the hospital’s weighted average payer rate exceeds the median.