Chapter 12C

Section 1. As used in this chapter the following words shall, unless the context clearly requires otherwise, have the following meanings:— ''Accountable care organization'', or ''ACO'', a provider organization certified under section 15 of chapter 6D. ''Actual costs'', all direct…

Section 10. (a) The center shall promulgate regulations necessary to ensure the uniform reporting of information from private and public health care payers, including third-party administrators, that enables the center to analyze: (1) changes over time in health insurance premium…

Section 10A. (a) The center shall promulgate regulations necessary to ensure the uniform reporting of information from pharmacy benefit managers to enable the center to analyze: (i) year-over-year changes in wholesale acquisition cost; (ii) year-over-year trends in formulary, max…

Section 11. The center shall ensure the timely reporting of information required under sections 8 to 10A, inclusive. The center shall notify entities required to submit data under this chapter of any applicable reporting deadlines. The center shall notify, in writing, an entity r…

Section 12. (a) The center shall be the sole repository for health care data collected under sections 8 to 10A, inclusive. The center shall collect, store and maintain such data in a payer and provider claims database. The center shall acquire, retain and oversee all information …

Section 13. The center shall coordinate with the public health council and the boards of registration for health care providers to develop a uniform and interoperable electronic system of public reporting for providers as a condition of licensure. The uniform provider licensure r…

Section 14. (a)(1) The center, in consultation with the statewide advisory committee established pursuant to subsection (c), shall, not later than March 1 in each even-numbered year, establish a standard set of measures of health care provider quality and health system performanc…

Section 15. (a) For the purposes of this section, the following words shall, unless the context clearly requires otherwise, have the following meanings: ''Adverse event'', harm to a patient resulting from a medical intervention and not to the underlying condition of the patient. …

Section 16. (a) The center shall publish an annual report based on the information submitted under: (i) sections 8 to 10A, inclusive, concerning health care provider, provider organization, private and public health care payer, pharmaceutical manufacturing company and pharmacy be…

Section 17. The attorney general may review and analyze any information submitted to the center by a provider, provider organization, significant equity investor, health care real estate investment trust, management services organization or payer pursuant to sections 8, 9 and 10 …

Section 18. The center shall perform ongoing analysis of data it receives under sections 6, 9 and 10 to identify any payers, providers or provider organizations whose increase in health status adjusted total medical expense is considered excessive and who threaten the ability of …

Section 19. The center shall review and comment upon all capital expenditure projects requiring a determination of need under section 25C of chapter 111, including, but not limited to, the availability and accessibility of services similar to those provided, or proposed to be pro…

Section 2. There is hereby established a center for health information and analysis. There shall be in the center an executive director, who shall be the administrative head of the center and who shall be appointed by a majority vote of the attorney general, the state auditor and…

Section 20. (a) The center, in consultation with commission, the executive office of health and human services, the department of public health and such other agencies or authorities as it deems appropriate, shall maintain a consumer health information website. The website shall …

Section 21. The center shall establish a continuing program of investigation and study of the uninsured and underinsured in the commonwealth, including the health insurance needs of the residents of the geographically isolated or rural areas of the commonwealth. Said continuing i…

Section 21A. The center shall establish a continuing program of investigation and study of mental health, chronic pain and substance use disorders in the commonwealth. The investigation and study shall also include developing and defining criteria for health care services to be c…

Section 22. (a) Any provider of health care services that receives reimbursement or payment for treatment of injured workers under chapter 152 and any provider of health care services other than an acute or non-acute hospital that receives reimbursement or payment from any govern…

Section 24. The center, in conjunction with MassHealth, shall prepare a biennial report on the provision of continuous skilled nursing care as defined in 101 CMR 361 and 130 CMR 403.402. The report shall include, but not be limited to: (i) the number of pediatric patients and the…

Section 2A. (a) There shall be a health information and analysis oversight council which shall oversee the center; provided, however, that the council shall not oversee the Betsy Lehman center for patient safety and medical error reduction established in section 15. The council s…

Section 3. The executive director may appoint and remove, subject to appropriation, such agents and subordinate officers and employees as the executive director may consider necessary and may establish such subdivisions within the center as the executive director considers approp…

Section 4. The position of executive director shall be classified under section 45 of chapter 30 and the salary shall be determined under section 46C of said chapter 30. The total amount of all appointee salaries shall not exceed the sum appropriated therefor by the general court…

Section 5. The center shall adopt and amend rules and regulations, in accordance with chapter 30A, for the administration of its duties and powers and necessary to effectuate this chapter; provided, however, that the rules or regulations shall not be construed to impair or in any…

Section 6. In addition to the powers conferred on state agencies, the center shall have the following powers: (1) to make, amend and repeal rules and regulations for the management of its affairs; (2) to make contracts and execute all instruments necessary or convenient for the c…

Section 7. (a) For the purposes of this section, ''non-hospital provider organization'' shall mean a provider organization required to register under section 11 under chapter 6D that is: (i) a non-hospital-based physician practice with not less than $500,000,000 in annual gross p…

Section 7A. There shall be a Center for Health Information and Analysis Fund which shall be a separate, nonbudgeted special revenue fund to be administered by the executive director. The fund shall be credited with: (i) any transfers from the Health Safety Net Trust Fund establis…

Section 8. (a) The center shall promulgate such regulations as necessary to ensure the uniform reporting of revenues, charges, costs, prices, and utilization of health care services and other such data as the center may require of institutional providers and their parent organiza…

Section 9. (a) The center, in consultation with the commission, shall promulgate regulations to require that provider organizations registered under section 11 of chapter 6D shall annually report the data as the center considers necessary to better protect the public interest in …