62 Pa. Stat. § 513-A

Current through Pa Acts 2024-53, 2024-56 through 2024-92
Section 513-A - Statewide analysis of Medicaid system

The department shall conduct a comprehensive analysis of existing relevant state databases to increase efficiency in the Medicaid system. The following shall apply:

(1) The analysis shall identify instances of potentially avoidable events in the Medicaid system and the costs associated with these cases.
(2) The overall estimate of cost shall be broken down into actionable categories, including, but not limited to, regions, hospitals, managed care organizations, physicians, service lines, diagnosis related groups, medical conditions and procedures, patient characteristics, provider characteristics and Medicaid program type.
(3) Information collected from the potentially avoidable event study shall be utilized in the hospital outcomes program and managed care organization outcomes program.

62 P.S. § 513-A

Added by P.L. TBD 2018 No. 40, § 3.1, eff. 3/31/2019.