Md. Code, Ins. § 15-112. Powers and Duties of Carriers Relating to Provider Panels: Health Insurance — General Provisions – Maryland
Status: EnactedYear Enacted: 1997
Year Amended: 2019
File: Download
Provides powers and duties of carriers relating to provider panels, regulations for evaluation of network sufficiency of health benefit plans, notification on access to information, arrier reimbursement of group practice at participating provider rate for covered services, most favored nation clauses etc.
Key Issues:
Affordable Care Act (ACA)
Provider Payment
Benefit Design
Most Favored Nation (MFN)
PHARMACEUTICALS
PRICE AND QUALITY TRANSPARENCY
Network Adequacy
Quality Measure
Capitation
HEALTHCARE SYSTEM REFORM
Pharmacy Benefit Manager (PBM)
Rate Regulation
HEALTHCARE COSTS
Drug Formulary
Scope of Practice
Competition
Cost Containment
Value-Based Payment
HEALTHCARE MARKETS
Provider Network
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