Texas HB5099 establishes a shared savings program for certain managed care plans, requiring disclosure of average contracted rates and offering.

Texas HB5099 amends the Insurance Code to establish a shared savings program for certain managed care plans. The program requires health benefit plan issuers or administrators to disclose the average contracted rate paid to in-network providers for specific health care services or supplies. Enrollees can request these disclosures through a toll-free number and a publicly accessible website. Out-of-network providers must provide written estimates for proposed services or supplies upon enrollee request.

Texas HB5099 establishes a shared savings program for certain managed care plans, requiring disclosure of average contracted rates and offering.

Texas HB5099 amends the Insurance Code to establish a shared savings program for certain managed care plans. The program requires health benefit plan issuers or administrators to disclose the average contracted rate paid to in-network providers for specific health care services or supplies. Enrollees can request these disclosures through a toll-free number and a publicly accessible website. Out-of-network providers must provide written estimates for proposed services or supplies upon enrollee request.