Requires healthcare plans in RI to notify providers of any proposed amendments to an agreement 60 days before the effective date and requires 60 days notice of any amendment to a manual, policy or procedure that is referred to in a provider agreement.
Impact
If passed, H7717 will result in a significant shift in how health insurance providers operate within the state. The requirement for advance notice is expected to provide healthcare providers with ample time to review and adapt to any proposed changes to agreements or policies. This advance notice provision is crucial for maintaining the integrity and stability of provider agreements, enhancing access to quality healthcare, and ensuring providers can adequately prepare for changes that may affect their operations and patient care services.
Summary
House Bill 7717 aims to enhance communication between health insurance carriers and healthcare providers in Rhode Island by mandating a sixty-day notice period for amendments to provider agreements. The bill ensures that healthcare entities must inform participating providers about any proposed changes to provider agreements at least sixty days prior to the effective date of these changes. Additionally, if there are amendments made to any procedural manuals, policies, or codes referenced in the provider agreements, providers must also receive a sixty-day notice before those amendments take effect.
Contention
While the bill has the potential to enhance provider education and compliance regarding healthcare agreements, concerns may arise regarding the administrative burden on health insurance carriers who will now have to ensure compliance with this sixty-day notification period. Some stakeholders may argue that this requirement could limit the agility of healthcare entities to adjust their policies quickly in response to changing healthcare needs or regulatory demands. Balancing the interests of timely policy updates with the need for provider awareness will be crucial as discussions around H7717 evolve.
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