Or. Admin. Code § 410-144-0040

Current through Register Vol. 63, No. 12, December 1, 2024

Section 410-144-0040 - [Effective 3/23/2025] Annual Reporting of Quality Metrics

(1) EWHF shall annually provide reports on all of the following metrics related to quality health benefits:

(a) Health benefits design, including total premium, employer/employee premium split, deductible, out-of-pocket maximum, co-pays, co-insurance;

(b) Services covered by benefit;

(c) Number of employees and their dependents enrolled in the health benefit;

(d) Network adequacy;

(e) Waiting times for select services;

(f) Other measures of employee health and wellness as mutually agreed upon between the Authority and participating employers;

(g) Narrative description of significant changes from the past year or anticipated future changes;

(h) Workforce retention metrics; and

(i) Equity metrics.

(2) The report shall be due to the Authority by January 31 of each year.

Or. Admin. Code § 410-144-0040

DMAP 52-2023, adopt filed 06/30/2023, effective 6/30/2023; DMAP 123-2024, temporary amend filed 09/25/2024, effective 9/25/2024 through 3/23/2025

Statutory/Other Authority: ORS 410.070 & 413.042

Statutes/Other Implemented: ORS 410.070, 414.033 & OL 2021 ch. 595