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OCA lays out PIP framework; board asks for clear timelines, transparency and penalty parameters
Summary
OCA presented an enforcement roadmap that emphasizes progressive steps — technical assistance, then performance improvement plans (PIPs) before typical administrative penalties — and described statutory constraints, confidentiality rules, monitoring obligations, and potential penalty authority to be defined with board input.
Office of Health Care Affordability staff provided an overview of enforcement options and introduced Performance Improvement Plans (PIPs) as a required progressive step under statute for entities that exceed spending targets without reasonable cause.
Staff reviewed PIP models in other states: Massachusetts requires entities to submit a PIP within 45 days and concluded its single, required PIP with measurable savings; Oregon’s process allows 90 days to submit and a…
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