Massachusetts H4338 aims to reduce inequities in access to medical procedures by prohibiting payment reductions for certain services.

Massachusetts H4338 seeks to address inequities in access to medical procedures by prohibiting health insurance carriers from reducing payments for evaluation and management or procedural services. Specifically, it voids any provision in provider agreements that allows for such reductions. This bill also limits the obligations of carriers or utilization review organizations to recommending payment to third-party payors when they only provide administrative services. The goal is to ensure fair reimbursement for participating providers.

Massachusetts H4338 aims to reduce inequities in access to medical procedures by prohibiting payment reductions for certain services.

Massachusetts H4338 seeks to address inequities in access to medical procedures by prohibiting health insurance carriers from reducing payments for evaluation and management or procedural services. Specifically, it voids any provision in provider agreements that allows for such reductions. This bill also limits the obligations of carriers or utilization review organizations to recommending payment to third-party payors when they only provide administrative services. The goal is to ensure fair reimbursement for participating providers.