Establishes reference-based pricing system for certain medical services in New Jersey.
The bill establishes a reference-based pricing system for certain medical services in New Jersey. Under this system, carriers must offer reference-based pricing for medical services determined by the Department of Banking and Insurance. The department will focus on medical services with the highest unit price variations, establish reference prices, and allow carriers to apply for exemptions. Carriers must disclose to covered persons a list of medical services subject to reference-based pricing, the reference prices, and participating health care providers.
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- Core Provisions
- Implementation
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- Legal Framework
- Critical Issues
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