2013 New York Consolidated Laws
ISC - Insurance
Article 3 - (301 - 341) ADMINISTRATIVE AND PROCEDURAL PROVISIONS
335 - Implementation of hospital reimbursement methodology.

 
    §  335.  Implementation  of  hospital  reimbursement  methodology. The
  superintendent shall have the power to prescribe rules  and  regulations
  governing   insurer   procedures   and  subscriber  contract  provisions
  necessary to implement a hospital reimbursement methodology  established
  in  accordance with the provisions of article twenty-eight of the public
  health law, and insurer procedures and  subscriber  contract  provisions
  necessary  to  implement  a  hospital inpatient discharge review program
  established in accordance with the provisions  of  section  twenty-eight
  hundred  three-i  of  the public health law, and to establish standards,
  criteria  and  procedures  for  evaluation  of  insurer  performance  in
  offering  contracts  for  hospital  and  medical  benefits  on  an  open
  enrollment basis necessary for a determination of the  hospital  payment
  rate  conversion  factor  in accordance with the provisions of paragraph
  (i) of subdivision eleven of section twenty-eight hundred seven-c of the
  public health law.
    The  superintendent  shall  periodically  report  his   findings   and
  conclusions  to  the  commissioner  of  health  and  to the chairman and
  vice-chairman of the council on health care financing concerning insurer
  performance in offering contracts for hospital and medical  benefits  on
  an open enrollment basis.