Texas HB3845 regulates compensation, contracting, employment, and performance criteria for utilization review of health benefits.
Texas HB3845 amends the Insurance Code to regulate certain compensation, contracting, employment, and performance criteria in connection with utilization review of health benefits. It prohibits utilization review agents from basing compensation, employment, evaluations, or performance standards on the volume of adverse determinations or frequency of contacts with health care providers. It also prohibits payors from basing compensation, contracting, or retention of utilization review agents on these factors.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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