Rhode Island – Health Insurance Bulletin 2013-1

Rhode Island – Health Insurance Bulletin 2013-1

Health Care Price Transparency

 (a) Purpose. This Bulletin is issued by the Office of the Health Insurance Commissioner [of Rhode Island] for the purpose of communicating to health insurance issuers the Commissioner’s interpretation of their obligations under state laws and regulations to disclose to certain health care providers the price of health care services. The Commissioner finds that there are significant variations in the price of health care services that are not attributable to the quality of the service, and that the disclosure of those price variations is necessary to enable providers to make cost-effective clinical referrals, care coordination, and other treatment decisions. The Commissioner finds that encouraging more cost-effective referrals and care coordination will protect the interests of health care consumers, and promote affordable health insurance. The Commissioner further finds that the fair treatment of providers requires disclosure of price information to providers with economic performance incentives connected to the cost-effectiveness of their referral, care coordination and other treatment decisions.