Establishes the Primary Care Contracting Good Faith Act, requiring insurers to negotiate with primary care practices every 24 months.
The Primary Care Contracting Good Faith Act mandates that commercial insurers, managed care organizations, and Medicare advantage plans negotiate in good faith with primary care physician practices at least once every 24 months. These negotiations must consider factors such as operating costs, inflation, staff wages, malpractice premiums, and other overhead expenses. The act prohibits payers from refusing to negotiate or enter/renew contracts based on practice size, ownership structure, patient panel size, or Medicaid volume.
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- Core Provisions
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- Legal Framework
- Critical Issues
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