2000 Minnesota Statutes

     62J.38 Cost containment data from group purchasers. 

    (a) The commissioner shall require group purchasers to 
 submit detailed data on total health care spending for each 
 calendar year.  Group purchasers shall submit data for the 1993 
 calendar year by April 1, 1994, and each April 1 thereafter 
 shall submit data for the preceding calendar year. 

    (b) The commissioner shall require each group purchaser to 
 submit data on revenue, expenses, and member months, as 
 applicable.  Revenue data must distinguish between premium 
 revenue and revenue from other sources and must also include 
 information on the amount of revenue in reserves and changes in 
 reserves.  Expenditure data, including raw data from claims, may 
 be provided separately for the following categories or for other 
 categories required by the commissioner:  physician services, 
 dental services, other professional services, inpatient hospital 
 services, outpatient hospital services, emergency, pharmacy 
 services and other nondurable medical goods, mental health, and 
 chemical dependency services, other expenditures, subscriber 
 liability, and administrative costs.  The commissioner may 
 require each group purchaser to submit any other data, including 
 data in unaggregated form, for the purposes of developing 
 spending estimates, setting spending limits, and monitoring 
 actual spending and costs. 

    (c) The commissioner may collect information on: 

    (1) premiums, benefit levels, managed care procedures, and 
 other features of health plan companies; 

    (2) prices, provider experience, and other information for 
 services less commonly covered by insurance or for which 
 patients commonly face significant out-of-pocket expenses; and 

    (3) information on health care services not provided 
 through health plan companies, including information on prices, 
 costs, expenditures, and utilization. 

    (d) All group purchasers shall provide the required data 
 using a uniform format and uniform definitions, as prescribed by 
 the commissioner. 

    HIST: 1993 c 345 art 3 s 10; 1994 c 625 art 8 s 28; 1995 c 234 
 art 5 s 11