New Jersey A2149 mandates the implementation of a referenced based pricing program and a bundled payment program by the State Health Benefits.
New Jersey A2149 requires the State Health Benefits Commission and School Employees’ Health Benefit Commission to implement a referenced based pricing program for certain elective medical procedures and a bundled payment program. The referenced based pricing program sets a maximum, uniformly-applied amount payable for elective medical procedures based on an external price deemed reasonable.
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- Legal Framework
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