Uniform payment methodology for hospital and ambulatory surgical center services
- • rules
(1) The Oregon Health Authority shall prescribe by rule a uniform payment methodology for hospital and ambulatory surgical center services that:
(a) Incorporates the most recent Medicare payment methodologies established by the Centers for Medicare and Medicaid Services, or similar payment methodologies, for hospital and ambulatory surgical center services;
(b) Includes payment methodologies for services and equipment that are not fully addressed by Medicare payment methodologies; and
(c) Allows for the use of alternative payment methodologies, including but not limited to pay-for-performance, bundled payments and capitation.
(2) In developing the payment methodologies described in this section, the authority shall convene and be advised by a work group consisting of providers, insurers and consumers of the types of health care services that are subject to the methodologies. [2011 c.418 §3]
Note: 442.392 (Uniform payment methodology for hospital and ambulatory surgical center services) to 442.396 (Attestation of compliance by insurers) were enacted into law by the Legislative Assembly but were not added to or made a part of ORS chapter 442 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.
3 OregonLaws.org assembles these lists by analyzing references between Sections. Each listed item refers back to the current Section in its own text. The result reveals relationships in the code that may not have otherwise been apparent.