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Indiana Code Title 27. Insurance § 27-1-37.6-15

Current as of January 02, 2024 | Updated by Findlaw Staff

Sec. 15. (a) As used in this chapter, “value based health care reimbursement agreement” may include the following:

(1) An accountable care organization that has a contract with a health plan in which the health plan:

(A) does not assume risk for prior authorization to a provider organization;  or

(B) delegates risk to a provider organization to manage prior authorization.

(2) Bundled payments.

(3) A capitated rate reimbursement arrangement.

(4) A pay for performance arrangement.

(5) Any other health care reimbursement arrangement in which the health care provider accepts at most ten percent (10%) of the downside risk.

(b) The term does not include any of the following:

(1) Narrow networks.

(2) Fixed fee schedules.

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Cite this article: FindLaw.com - Indiana Code Title 27. Insurance § 27-1-37.6-15 - last updated January 02, 2024 | https://codes.findlaw.com/in/title-27-insurance/in-code-sect-27-1-37-6-15/

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