Texas HB2254 allows insurers to enter into value-based and capitated payment arrangements with primary care physicians or groups without restriction.
Texas HB2254 amends the Insurance Code to allow insurers to enter into value-based and capitated payment arrangements with primary care physicians or primary care physician groups. These contracts can include fee-for-service, risk-sharing, or capitation arrangements. Insurers cannot require participation in these arrangements as a condition for inclusion in their provider network. Physicians and groups are not required to enter into these contracts, and insurers cannot discriminate against those who choose not to participate.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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