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Board debates technical assistance, public testimony and waivers for spending-target enforcement
Summary
The Health Care Affordability Board discussed how technical assistance, performance improvement plans, public testimony and waivers should operate within the office's progressive enforcement process for spending targets. Members sought clarity on tailoring assistance, reporting requirements and confidentiality rules.
The Health Care Affordability Board spent a large portion of its Oct. 17 meeting refining how the office will enforce statewide spending targets: what counts as "technical assistance," how and when the office will require public testimony, and when waivers may be appropriate.
Deputy Director Vishal Pagani told the board the statute envisions progressive enforcement: notification after a target exceedance; an opportunity to provide additional data and receive technical assistance; and, if needed, further steps such as performance improvement plans (PIPs) and penalties. Pagani said technical assistance would take the form of letters that point entities to models, literature and strategies to increase primary care investment or adopt alternative payment models but would not mean OCA staff act as an entity's management consultant.
Board members pressed staff to clarify how technical assistance differs from a PIP. "Technical assistance…
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