New York A02371 requires insurance and medical assistance contracts to provide value-based care for maternity coverage.

New York A02371 amends the insurance law, public health law, civil service law, and social services law to require value-based care for maternity coverage. Value-based care is defined as an arrangement that financially rewards certain positive outcomes and financially penalizes certain negative outcomes, including c-sections on low-risk individuals. Insurers and managed care providers must enter into value-based arrangements with hospitals, federally qualified health centers, and birthing centers that provide at least 85-95% of maternity care for enrollees by specified deadlines.

New York A02371 requires insurance and medical assistance contracts to provide value-based care for maternity coverage.

New York A02371 amends the insurance law, public health law, civil service law, and social services law to require value-based care for maternity coverage. Value-based care is defined as an arrangement that financially rewards certain positive outcomes and financially penalizes certain negative outcomes, including c-sections on low-risk individuals. Insurers and managed care providers must enter into value-based arrangements with hospitals, federally qualified health centers, and birthing centers that provide at least 85-95% of maternity care for enrollees by specified deadlines.