Pennsylvania HB2315 amends the Health Maintenance Organization Act to mandate regulations preventing denial of payment for services referred by.
Pennsylvania HB2315 amends the Health Maintenance Organization Act to require the Insurance Commissioner and the Secretary of Health to promulgate regulations. These regulations must ensure that health maintenance organizations cannot deny payment for basic health services or physicians' services if the referral was made by a direct primary care provider not in the organization's network.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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