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| 3.__Efficiency of care.__The agency shall establish an efficiency- | | of-care program and shall adopt rules to implement that program.__ | | Rules adopted pursuant to this subsection are routine technical | | rules as defined in Title 5, chapter 375, subchapter 2-A.__The | | agency shall review health care malpractice insurance costs and | | shall work with organized delivery systems, participating providers | | and insurers to ensure that the resources of the fund are used for | | maximum service delivery.__The agency shall develop claims handling | | and data collection methods and forms, including, but not limited | | to, uniform billing forms and procedures to facilitate the exchange | | of information and communication between the agency and | | participating providers. |
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| | | 4.__Health planning.__The agency shall establish a health | | planning program and adopt rules to implement that program.__ | | Rules adopted pursuant to this subsection are routine technical | | rules as defined in Title 5, chapter 375, subchapter 2-A.__Health | | planning must be considered in light of the programs on quality, | | affordability and efficiency established under subsections 1 to | | 3.__The program must include, but is not limited to: |
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| | | A.__Global budgets for all expenditures of the plan for the | | base year of the plan and for each following year based on | | the level of expenditures in the preceding year as increased | | by the percentage of increase in the average per capita | | personal income applicable to the State, as developed by the | | United States Department of Commerce; |
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| | | B.__Global budgets for hospitals and institutional providers | | with adjustments for case mix, volume and region and | | separate capital budgets for hospitals and institutional | | providers; |
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| | | C.__A certificate of need program, pursuant to chapter 103- | | A; |
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| | | D.__A health planning program; and |
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| | | E.__Data collection regarding health care needs, resources | | and expenditures. |
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| | | FINANCING OF THE MAINE HEALTH CARE PLAN |
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| | | §374.__Financing of Maine Health Care Plan |
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| | | Financing of the plan is accomplished by the fund. |
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