Search state statutes and regulations in all 50 states and the District of Columbia to find out what rights you have in your state and what other states are doing to empower physicians and patients in the face of health insurer market power.
Disenrollment of Primary Care Provider; Disenrollment of Providers of Care to Pregnant Women; Disenrollment of Providers of Care to the Terminally Ill; Coverage for the Newly Insured; Carrier’s Coverage Conditions; Denial of Provider Application; Provider Termination Without Cause Provisions
Requires a health insurer to give a physician specific fair process rights, e.g., a hearing, before either officially denying the physician’s request to join an insurer’s network or terminating a physician’s managed care contract or network participation.
Termination of providers from a network
Hearings for provider terminations
Establishment of policy governing removal of health care providers
Hearings for provider terminations