Texas HB4102 prohibits health benefit plan issuers from offering incentives to practitioners to join affiliated providers and restricts certain.
Texas HB4102 amends the Insurance Code to regulate the conduct of health benefit plan issuers in relation to affiliated and nonaffiliated providers. The bill prohibits issuers from offering higher reimbursement rates to practitioners from nonaffiliated providers if they agree to join an affiliated provider. It also restricts issuers from requiring patients to use affiliated providers to receive maximum benefits and from soliciting patients to transfer prescriptions to affiliated providers. Exceptions apply to certain government-run health programs and specific types of health benefit plans.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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