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
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
Translating the Medical Home Principles into a Payment Pilot
Modern Healthcare 112408 CSI RI Story
NENG All Payor Medical Homes Pilot 11-06-08 Story
CSI Translating Med Home Principles into a Pmt Pilot
The Providence Journal (external) March 2009
The Rhode Island Nurses Association Guide to Primary Care Services TAKING CARE (external) October 29, 2009
Primary Care ReportA special Legislative commission was created to study the feasibility of enacting legislation to empower Primary Care Providers to jointly negotiate with health insurers.
Primary Care Report