State legislation that would permit employers in Minnesota to pay medical
providers based on episodes of care rather than on a fee-for-service basis was
signed Thursday, May 29, by Gov. Tim Pawlenty.
Under the law, employers would, for example, pay providers a package price
for a year's worth of care delivered to a diabetic, explained Charles Montreuil,
vice president of human resources at Minnetonka, Minnesota-based Carlson Cos.
Montreuil was a member of the task force that developed the legislation.
State Sen. Linda Berglin, who introduced the measure in the Senate, said the
state Department of Health would define the so-called “baskets of care”—the
specific chronic conditions that providers would treat for a package price.
The Omnibus Health Care Bill also establishes a pay-for-performance program
for Medicaid and a certification program for medical homes, where a single
physician coordinates all the care for an individual; gives consumers online
access to provider price and quality information; and requires that all
prescription orders be made electronically by 2011. Senate File 3780 also
creates a grant program to help small employers establish Section 125 plans that
allow individuals to pay insurance premiums on a pretax basis.
Berglin said the Department of Health also will publish prices for all
providers on the Internet.
Filed by Joanne Wojcik of Business Insurance, a sister publication of
Workforce Management. To comment, e-mail editors@workforce.com.