Ind. Code § 27-1-37.6-15

Current through P.L. 171-2024
Section 27-1-37.6-15 - "Value based health care reimbursement agreement"
(a) As used in this chapter, "value based health care reimbursement agreement" may include the following:
(1) An accountable care organization that has a contract with a health plan in which the health plan:
(A) does not assume risk for prior authorization to a provider organization; or
(B) delegates risk to a provider organization to manage prior authorization.
(2) Bundled payments.
(3) A capitated rate reimbursement arrangement.
(4) A pay for performance arrangement.
(5) Any other health care reimbursement arrangement in which the health care provider accepts at most ten percent (10%) of the downside risk.
(b) The term does not include any of the following:
(1) Narrow networks.
(2) Fixed fee schedules.

IC 27-1-37.6-15

Added by P.L. 203-2023,SEC. 19, eff. 7/1/2023.