26B-8-511. Consumer-focused health care delivery and payment reform demonstration project.
(1) The Legislature finds that: current health care delivery and payment systems do not provide system wide incentives for the competitive delivery and pricing of health care services to consumers; there is a compelling state interest to encourage consumers to seek high quality, low cost care and educate themselves about health care options; some health care providers and health care payers have developed consumer-focused ideas for health care delivery and payment system reform, but lack the critical number of patient lives and payer involvement to accomplish system-wide consumer-focused reform; and there is a compelling state interest to encourage as many health care providers and health care payers to join together and coordinate efforts at consumer-focused health care delivery and payment reform that would provide to consumers enrolled in a high-deductible health plan: greater choice in health care options; improved services through competition; and more affordable options for care.
(2) The department shall meet with health care providers and health care payers for the purpose of coordinating a demonstration project for consumer-based health care delivery and payment reform. Participation in the coordination efforts is voluntary, but encouraged.
(3) The department, in order to facilitate the coordination of a demonstration project for consumer-based health care delivery and payment reform, shall convene and consult with pertinent entities including: the Utah Insurance Department; the Office of Consumer Services; the Utah Medical Association; the Utah Hospital Association; and neutral, non-biased third parties with an established record for broad based, multi-provider and multi-payer quality assurance efforts and data collection.
(4) The department shall supervise the efforts by entities under Subsectionregarding: (3) applying for and obtaining grant funding and other financial assistance that may be available for demonstrating consumer-based improvements to health care delivery and payment; obtaining and analyzing information and data related to current health system utilization and costs to consumers; and consulting with those health care providers and health care payers who elect to participate in the consumer-based health delivery and payment demonstration project.