Sec. 38a-478f. Provider profile development requirements.
Sec. 38a-478f. Provider profile development requirements. Each managed care
organization, in developing provider profiles or otherwise measuring health care provider performance, shall: (1) Make allowances for the severity of illness or condition
of the patient mix; (2) make allowances for patients with multiple illnesses or conditions;
(3) make available to the commissioner documentation of how the managed care organization makes such allowances; and (4) inform enrollees and participating providers,
upon request, how the managed care organization considers patient mix when profiling
or evaluating providers.
(P.A. 97-99, S. 7.)