Common use of No Incentives to Limit Medically Necessary Services Clause in Contracts

No Incentives to Limit Medically Necessary Services. Subcontractor shall not structure compensation provided to individuals or entities that conduct utilization management and concurrent review activities so as to provide incentives for the individual or entity to deny, limit, or discontinue Medically Necessary Covered Services to any Covered Person.

No Incentives to Limit Medically Necessary Services. Subcontractor shall not structure compensation provided to individuals or entities that conduct utilization management and concurrent review activities so as to provide incentives for the individual or entity to deny, limit, or discontinue Medically Necessary Covered Services services to any Covered Person.