40 Pa. Stat. § 991.2112

Current through Pa Acts 2024-53, 2024-56 through 2024-92
Section 991.2112 - Financial incentives prohibition

No managed care plan shall use any financial incentive that compensates a health care provider for providing less than medically necessary and appropriate care to an enrollee. Nothing in this section shall be deemed to prohibit a managed care plan from using a capitated payment arrangement or other risk-sharing arrangement.

40 P.S. § 991.2112

1921, May 17, P.L. 682, No. 284, § 2112, added 1998, June 17, P.L. 464, No. 68, § 1, effective 1/1/1999.