Relating to the payment for services provided by certain types of health care practitioners under contracts between the practitioners and managed care health benefit plans.
Impact
The implications of this bill are significant for health care practitioners who participate in managed care plans. By establishing a standard payment approach, the bill seeks to protect the rights of various health professionals to receive fair compensation for their services. This legislative change could enhance collaboration among practitioners and improve accessibility for patients, as it discourages biased contracting practices that may favor one type of provider over others.
Summary
House Bill 761 addresses the payment practices for services provided by specific health care practitioners under contracts with managed care health benefit plans. Its primary aim is to prevent health benefit plan issuers from discriminating against different types of practitioners by ensuring that their payment methods and amounts are equitable. This means that for covered procedures that are within the licensed scope of different practitioners, the payment will be consistent across the board, irrespective of the type of practitioner.
Contention
There may be concerns or contention surrounding this bill, particularly from managed care organizations that could view the requirement for nondiscriminatory payment practices as restrictive or burdensome to their operational flexibility. Thus, potential debates could arise regarding the balance between ensuring fairness in provider payments and allowing managed care organizations to maintain the flexibility they require in their contracting processes.
Relating to the establishment of the state health benefit plan reimbursement review board and the reimbursement for health care services or supplies provided under certain state-funded health benefit plans.