Selective contracting arrangement means an arrangement in which a carrier participates in selective contracting with one or more providers, and which arrangement contains reasonable benefit differentials, including, but not limited to, predetermined fee or reimbursement rates for covered benefits applicable to participating and nonparticipating providers.
Selective contracting arrangement means an arrangement in
Selective contracting arrangement means an arrangement in which a benefits payer participates in selective contracting with one or more participating health care providers or organized delivery systems, and which arrangement contains reasonable benefit differentials, including, but not limited to, predetermined fee or reimbursement rates for covered services applicable to participating and nonparticipating health care providers and organized delivery systems.
Examples of Selective contracting arrangement in a sentence
He explained that this can be budgeted; however, certain rules apply through the Federal Governments equitable sharing program, and funds can only be used for certain things.
The law leaves those issues for the Commissioner to address in regulations adopted to administer and enforce the law consistent with the stated goals— "health care cost containment and preserv[ation] of quality care." N.J.S.A. 17B:27A-54.N.J.A.C. 11:22-5.2 provides that "'Selective contracting arrangement contract' .
More Definitions of Selective contracting arrangement
Selective contracting arrangement means an agreement for the
Selective contracting arrangement or "SCA" means an arrangement for the payment of predetermined fees or reimbursement levels for covered services by the carrier to [preferred] network providers, [or preferred provider organizations] HMOs, certified ODSs, licensed