N.H. Rev. Stat. Ann. §§ 420-J:1 through J:14: Managed Care Law – New Hampshire
Status: EnactedYear Enacted: 1997
Year Amended: 2018
File: Download
The purpose and intent of this chapter is to provide standards for certain fundamental operations of licensed entities providing health insurance through a managed care system of health care delivery and reimbursement.
Key Issues:
Medicaid Reform or Medicaid Waiver
Provider Payment
Benefit Design
PHARMACEUTICALS
Tiered Network or Narrow Network
Quality or Value-Based Reform
Delivery Reform
Capitation
Quality Measure
Network Adequacy
Utilization Review
Pharmacy Regulation
PRICE AND QUALITY TRANSPARENCY
Cost-Sharing or Out-of-Pocket Costs
Prior Authorization
HEALTHCARE SYSTEM REFORM
HEALTHCARE COSTS
Competition
Cost Containment
Clawback Restriction
Drug Pricing
HEALTHCARE MARKETS
Provider Network
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Associated Litigation:
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