Workgroup

From 2006 to 2008, OHIC convened a workgroup of practice administrators and insurers to address nine specific administrative concerns identified by the provider community. Below are the full reports on each concern, as well as three progress reports and a two page summary brief that also includes a summary of the Special Legislative Commission that studied the feasability of primary care providers to jointly negotiate with health insurers (that full report is at the bottom of this page).

     Provider Workgroup Brief
     June 2008 Progress Report
     May 2007 Workgroup Progress Report and cover letter
     March 2006 Workgroup Progress Report and cover letter
     Silent PPOs and Occasional Contract Negotiations
     Cost and Quality Transparency for Consumers Report
     Real Time Patient Information Report
     Plan Provider Dispute Resolution Report
     Uniform Claim Form Report
     Standard Credentialing Application Report
     Fee Schedule Disclosure Report
     Fee Disclosure Information Brief

CSI

The Office of the Health Insurance Commissioner will direct Rhode Island's Regional Quality Improvement project with the management support of Quality Partners of Rhode Island (Quality Partners). This two-year project will result inthe formation of a sustainable body of key stakeholders and the development of a coordinated system to align performance standards and financial incentives among Rhode Island's health plans, purchasers and providers for the delivery of high quality ambulatory care for chronic illness throughout our state.

     RQI Grant Summary
     RQI summary

Primary Care Report