Health Competition Act: Banning Contract Terms that Raise Healthcare Costs.
This law prohibits specific clauses in contracts between health insurers and medical providers that restrict competition and inflate healthcare costs. Health plans will gain flexibility to direct patients toward higher-quality, lower-cost providers and offer incentives for using them. The goal is to reduce overall healthcare expenses for citizens by fostering greater transparency and network flexibility.
Key points
Insurers can now encourage patients to use cheaper or higher-quality medical facilities (e.g., through lower co-pays or incentives).
Contracts that force insurers to pay high rates or contract with unwanted affiliates (known as 'all-or-nothing' clauses) are banned.
These changes aim to increase market competition, potentially leading to lower treatment costs and premiums for patients.
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