Indiana Code 2-5-47-7. Duties
(1) Review and make recommendations concerning the cost of health care in the state and in comparison to other states.
Terms Used In Indiana Code 2-5-47-7
- Contract: A legal written agreement that becomes binding when signed.
- Oversight: Committee review of the activities of a Federal agency or program.
- task force: refers to the health care cost oversight task force established by section 3 of this chapter. See Indiana Code 2-5-47-2
(3) Review and make recommendations concerning reports submitted to the task force.
(4) Study and make recommendations concerning the availability of value-based care and other health care models that emphasize prevention and cost avoidance.
(5) Study and make recommendations concerning the market concentration of health care providers and contributing factors, including:
(A) whether:
(i) noncompete clauses in practitioner contracts contributes to a restraint of trade; and
(ii) prohibiting noncompete clauses would create greater competition in the health workforce;
(B) contract tiering with health carriers;
(C) all-or-nothing network plans; and
(D) disclosure of cost and price information to plan sponsors.
(6) Study and make recommendations concerning whether medical consumers would benefit from prohibiting anti-competitive practices or otherwise encouraging increased competition among providers.
(7) Study and make recommendations concerning whether medical consumers overall would benefit from reestablishing the former Indiana comprehensive health insurance association policies (IC 27-8-10).
(8) Review and make recommendations concerning required reporting for pharmacy benefit managers to the department of insurance, including the report required under IC 27-1-24.5-21.
(9) Study and make recommendations concerning whether there is sufficient competition in the commercial insurance market and whether health care consumers would benefit from policies designed to increase competition among commercial carriers, including the promotion of:
(A) direct contracting;
(B) narrow networks; and
(C) insurance brokers.
(10) Study and make recommendations concerning whether there is sufficient innovation in the design of health insurance plans, including whether health care consumers would benefit from policies that:
(A) better distinguish wellness and prevention from comprehensive and catastrophic coverage;
(B) promote price discounts based on individual underwriting; and
(C) empower the health care consumer with a focus on prevention and shoppable services.
(11) Any other topic the task force deems relevant to the oversight of health care costs in Indiana.
As added by P.L.203-2023, SEC.1.