LRB-1589/P3
SWB:skw
2023 - 2024 LEGISLATURE
DOA:......Bollhorst, BB0404 - Health Information Exchange Pay-For-Performance
For 2023-2025 Budget -- Not Ready For Introduction
An Act ...; relating to: the budget.
Analysis by the Legislative Reference Bureau
Health and human services
Medical Assistance
Health information exchange pay-for-performance system
This bill requires DHS to develop and implement for non-hospital providers in the Medical Assistance program, including physicians, clinics, health departments, home health agencies, and post-acute care facilities, a payment system based on performance to incentivize participation in the health information exchange as specified in the bill.
For further information see the state fiscal estimate, which will be printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:
Section
1. 49.45 (7m) of the statutes is created to read:
49.45 (7m) Pay-for-performance; health information exchange. The department shall develop and implement for non-hospital providers in the Medical Assistance program, including physicians, clinics, health departments, home health agencies, and post-acute care facilities, a payment system based on performance to incentivize participation in health information data sharing to facilitate better patient care, reduced costs, and easier access to patient information. The department shall establish performance metrics for the payment system under this subsection that satisfy all of the following:
(a) The metric shall include participation by providers in a health information exchange at a minimum level of patient record access.
(b) The payment under the payment system shall increase as the participation level in the health information exchange increases.
(c) The payment system shall begin in the 2024 rate year.
(d) For purposes of the payment system, the department shall seek any available federal moneys.
(End)
