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Dec. 14, 2017
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2016 Statute



Prev Article 46. - MANAGED CARENext


40-4605.Same; arrangements which serve as inducement to reduce or limit delivery of medically necessary services prohibited; capitation payments or other risk sharing provisions not considered inducements. No health insurer shall offer or operate a compensation arrangement between such health insurer or its agents and a participating provider that may directly or indirectly serve as an inducement to reduce or limit the delivery of medically necessary services with respect to an insured in any health benefit plan offered by such health insurer. Compensation arrangements which involve capitation payments or other risk sharing provisions shall not be considered inducements.

History: L. 1997, ch. 190, § 20; July 1.



Prev Article 46. - MANAGED CARENext
2017. Powered by KLISS. Rendered: 2017-12-14T02:23:08. Head Rev No: 343008