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Current as of January 01, 2025 | Updated by Findlaw Staff
No insurer or MA or CHIP managed care plan shall use any financial incentive that compensates a health care provider for providing less than medically necessary and appropriate care to a covered person or enrollee. Nothing in this section shall be deemed to prohibit an insurer or MA or CHIP managed care plan from using a capitated payment arrangement or other risk-sharing arrangement.
Cite this article: FindLaw.com - Pennsylvania Statutes Title 40 P.S. Insurance § 991.2112. Financial incentives prohibition - last updated January 01, 2025 | https://codes.findlaw.com/pa/title-40-ps-insurance/pa-st-sect-40-991-2112/
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