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Current as of January 01, 2025 | Updated by Findlaw Staff
The department shall conduct a comprehensive analysis of existing relevant State databases to increase efficiency in the Medicaid system. The following shall apply:
(1) The analysis shall identify instances of potentially avoidable events in the Medicaid system and the costs associated with these cases.
(2) The overall estimate of cost shall be broken down into actionable categories, including, but not limited to, regions, hospitals, managed care organizations, physicians, service lines, Diagnosis Related Groups, medical conditions and procedures, patient characteristics, provider characteristics and Medicaid program type.
(3) Information collected from the potentially avoidable event study shall be utilized in the Hospital Outcomes Program and Managed Care Organization Outcomes Program.
Cite this article: FindLaw.com - Pennsylvania Statutes Title 62 P.S. Poor Persons and Public Welfare § 513-A. Statewide analysis of Medicaid system - last updated January 01, 2025 | https://codes.findlaw.com/pa/title-62-ps-poor-persons-and-public-welfare/pa-st-sect-62-513-a/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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