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Opinion Letter No. 98-02
April 24, 1998
Disclosure of Hospital Eligible Charges
Kona Community Hospital must disclose the eligible
charges contained on contracts executed
between itself and two private health care benefits companies. Eligible
charges are the amounts that a
health care benefits company uses to calculate and reimburse the
Hospital for medical services that the Hospital provides to the
health care benefits companies’ enrollees.
An agency is not required to disclose business and
financial information if (1) the information is confidential business
information, and (2) the disclosure would frustrate the agency’s
legitimate government function. The Hospital alleged that disclosing
the eligible charges would not frustrate its legitimate government
functions.
Furthermore, the OIP determined that the eligible
charges did not constitute confidential business
information. Accordingly, as disclosure would not frustrate the
agency’s legitimate government
function, the eligible charges must be disclosed to the public.
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