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1999 SESSION

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HB 2395 Health insurance; prohibited incentives.

Introduced by: William K. Barlow | all patrons    ...    notes | add to my profiles

SUMMARY AS PASSED HOUSE: (all summaries)

Prohibited incentives. Prohibits health insurance, health services plans, and health maintenance organization contracts from containing provisions which include an incentive or specific payment made directly, in any form, to a health care provider as an inducement to deny services that the provider or group knows to be medically necessary and appropriate that are provided with respect to a specific enrollee or group of enrollees with similar medical conditions. This bill does not prohibit the use of capitation as a method of payment, nor does it prohibit the inclusion of incentives or payments that reward providers or provider groups for providing services in a cost effective manner or that promote the quality initiative established under a managed care health insurance plan.


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