Tex.
Gov't Code Section 536.006
Transparency
(a)
The commission shall:(1)
ensure transparency in the development and establishment of:(A)
quality-based payment and reimbursement systems under Section 536.004 (Development of Quality-based Payment Systems) and Subchapters B, C, and D, including the development of outcome and process measures under Section 536.003 (Development of Quality-based Outcome and Process Measures); and(B)
quality-based payment initiatives under Subchapter E, including the development of quality of care and cost-efficiency benchmarks under Section 536.204 (Standards; Protocols)(a) and efficiency performance standards under Section 536.204 (Standards; Protocols)(b);(2)
develop guidelines establishing procedures for providing notice and information to, and receiving input from, managed care organizations, health care providers, including physicians and experts in the various medical specialty fields, and other stakeholders, as appropriate, for purposes of developing and establishing the quality-based payment and reimbursement systems and initiatives described under Subdivision (1);(3)
in developing and establishing the quality-based payment and reimbursement systems and initiatives described under Subdivision (1), consider that as the performance of a managed care organization or physician or other health care provider improves with respect to an outcome or process measure, quality of care and cost-efficiency benchmark, or efficiency performance standard, as applicable, there will be a diminishing rate of improved performance over time; and(4)
develop web-based capability to provide managed care organizations and health care providers with data on their clinical and utilization performance, including comparisons to peer organizations and providers located in this state and in the provider’s respective region.(b)
The web-based capability required by Subsection (a)(4) must support the requirements of the electronic health information exchange system under Sections 531.907 (Electronic Health Information Exchange System Stage Two: Expansion) through 531.909 (Incentives).
Source:
Section 536.006 — Transparency, https://statutes.capitol.texas.gov/Docs/GV/htm/GV.536.htm#536.006 (accessed Jun. 5, 2024).
