Browse Arkansas Code titles and sections
20-77-2707. Reporting and performance measures.
Arkansas Code — all titles (historical 2020) · legal_authorities
20-77-2707. Reporting and performance measures.
(a)(1) On a quarterly basis, a risk-based provider organization shall submit to the Department of Human Services protected health information for each member of a covered Medicaid beneficiary population and a voluntary Medicaid beneficiary population enrolled with the risk-based provider organization in accordance with standards and procedures adopted by the department, including without limitation:
(A) Claims data, including without limitation:
(i) Denial rates; and
(ii) Claims-paid rates;
(B) Encounter data;
(C) Unique identifiers;
(D) Geographic and demographic information;
(E) Patient satisfaction scores; and
(F) Other information as required by the state.
(2) Personally identifiable data submitted under this section shall be treated as confidential and is exempt from disclosure under the Freedom of Information Act of 1967, § 25-19-101 et seq.
(b) The department shall use the data submitted under subsection (a) of this section to measure the performance of the risk-based provider organization in:
(1) Delivery of services;
(2) Patient outcomes;
(3) Efficiencies achieved; and
(4) Quality measures.
(c) Performance measures established by the department shall at a minimum monitor:
(1) Reduction in unnecessary hospital emergency department utilization;
(2) Adherence to prescribed medication regimens;
(3) Reduction in avoidable hospitalizations for ambulatory-sensitive conditions; and
(4) Reduction in hospital readmissions.
(d) The department shall issue funds from the quality incentive pool above the amount of the global payments initially provided to a risk-based provider organization that meets or exceeds specific performance and outcome measures established by the department.
(e
Source: Arkansas Code — historical release 78 (November 6, 2020) · 20-77-2707
Stored review status: Historical 2020-11-06 source release; later amendments not reconciled; machine-extracted, not independently legally reviewed; source heading status: text_in_historical_source. A text match is a research starting point; applicability is not established.
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Record provenance
Stable record: arkansas_code:legal_authorities:20-77-2707
Source file: gov.ar.code.title.20.odt
Pages: Not recorded – Not recorded
Passage SHA-256: b1edacc27deeeba8849d6752ecbf438d72b6185b9098f3ff396e9e01d8527f03
Source location: content.xml paragraph 38826
Stored source content
20-77-2707. Reporting and performance measures.
(a)(1) On a quarterly basis, a risk-based provider organization shall submit to the Department of Human Services protected health information for each member of a covered Medicaid beneficiary population and a voluntary Medicaid beneficiary population enrolled with the risk-based provider organization in accordance with standards and procedures adopted by the department, including without limitation:
(A) Claims data, including without limitation:
(i) Denial rates; and
(ii) Claims-paid rates;
(B) Encounter data;
(C) Unique identifiers;
(D) Geographic and demographic information;
(E) Patient satisfaction scores; and
(F) Other information as required by the state.
(2) Personally identifiable data submitted under this section shall be treated as confidential and is exempt from disclosure under the Freedom of Information Act of 1967, § 25-19-101 et seq.
(b) The department shall use the data submitted under subsection (a) of this section to measure the performance of the risk-based provider organization in:
(1) Delivery of services;
(2) Patient outcomes;
(3) Efficiencies achieved; and
(4) Quality measures.
(c) Performance measures established by the department shall at a minimum monitor:
(1) Reduction in unnecessary hospital emergency department utilization;
(2) Adherence to prescribed medication regimens;
(3) Reduction in avoidable hospitalizations for ambulatory-sensitive conditions; and
(4) Reduction in hospital readmissions.
(d) The department shall issue funds from the quality incentive pool above the amount of the global payments initially provided to a risk-based provider organization that meets or exceeds specific performance and outcome measures established by the department.
(e) On a quarterly basis, the department shall report to the Legislative Council, or to the Joint Budget Committee if the General Assembly is in session, available information regarding:
(1) Risk-based provider organization membership enrollment and distribution;
(2) Patient experience data; and
(3) Financial performance, including demonstrated savings.
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Arkansas Code — all titles (historical 2020) · legal_authorities
25-19-101. Title.
This chapter shall be known and cited as the “Freedom of Information Act of 1967”.
Source: Arkansas Code — historical release 78 (November 6, 2020) · 25-19-101
Stored review status: Historical 2020-11-06 source release; later amendments not reconciled; machine-extracted, not independently legally reviewed; source heading status: text_in_historical_source. The source passage cites 25-19-101. This identifies an authority to review, not proof of applicability.