HF255 (Legislative Session 94 (2025-2026))

Patient-Centered Care program established, direct state payments to health care providers authorized, and money appropriated.

Related bill: SF1059

AI Generated Summary

This legislative bill proposes the establishment of a Patient-Centered Care program in Minnesota. The aim of the program is to enhance health outcomes while reducing healthcare costs for the state. Key elements of the bill include:

  1. Direct State Payments: Health care providers, rather than hospital networks or managed care plans, will receive direct payments from the state for services rendered to individuals enrolled in Medical Assistance and MinnesotaCare.

  2. Elimination of Managed Care Contracts: The state will terminate its existing contracts with managed care plans and integrated health partnerships that currently manage care for Medical Assistance and MinnesotaCare enrollees.

  3. Care Coordination: Primary care providers will be paid additionally for coordinating patient care, especially for vulnerable populations facing health disparities. These providers include physicians, nurses, and other licensed care professionals.

  4. Community Outreach and Support: Funding will be allocated to hire community health workers, nurses, and social workers to help vulnerable individuals access healthcare services, manage their treatment plans, and assist with hospital discharge processes.

  5. Support Services for Enrollees and Providers: The bill mandates a hotline and website to help enrollees find providers and a consultation helpline available 24/7. It also requires the state to ensure fair and timely payment to providers and to work with them on improving healthcare quality and affordability.

The overall intent of the bill is to streamline the healthcare payment system, focus on personalized patient care, and ensure that healthcare is accessible and efficient.

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