State Law

Act of Jun. 17, 1998, P.L. 464, No. 68

08/21/2023 Pennsylvania Section 2112

Financial incentives prohibition

Prohibited financial incentives

No managed care plan shall use any financial incentive that compensates a health care provider for providing less than medically necessary and appropriate care to an enrollee. Nothing in this section shall be deemed to prohibit a managed care plan from using a capitated payment arrangement or other risk-sharing arrangement.