New Jersey S1479 authorizes health care providers to negotiate with carriers on fee- and non-fee-related matters.
New Jersey S1479 authorizes health care providers to negotiate with carriers regarding fee- and non-fee-related matters. The bill allows two or more independent health care providers to jointly negotiate with a carrier on behalf of the providers. The negotiations can cover non-fee-related matters affecting patient care, such as the definition of medical necessity, clinical practice guidelines, and provider rating programs. The bill also requires a joint negotiation representative to submit a petition to the Attorney General for approval before entering into negotiations.
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- Legal Framework
- Critical Issues
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