Iowa § 514F.2 Utilization and cost control

Iowa Statutes

§ 514F.2 — Utilization and cost control

Iowa § 514F.2

Title XIIICOMMERCE

Ch. 514FUTILIZATION AND COST CONTROL

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Bluebook

Iowa Code § 514F.2 (2026).

Text

Nothing contained in the chapters of Title XIII, subtitle 1, of the Code shall be construed
to prohibit or discourage insurers, nonprofit service corporations, health maintenance
organizations, orself-insurersforhealthcarebenefitstoemployeesfromprovidingpayments
of benefits or providing care and treatment under capitated payment systems, prospective
reimbursement rate systems, utilization control systems, incentive systems for the use of
least restrictive and least costly levels of care, preferred provider contracts limiting choice
of specific provider, or other systems, methods or organizations designed to contain costs
without sacrificing care or treatment outcome, provided these systems do not limit or make
optional payment or reimbursement for health care services on a basis solely rel

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Nothing contained in the chapters of Title XIII, subtitle 1, of the Code shall be construed
to prohibit or discourage insurers, nonprofit service corporations, health maintenance
organizations, orself-insurersforhealthcarebenefitstoemployeesfromprovidingpayments
of benefits or providing care and treatment under capitated payment systems, prospective
reimbursement rate systems, utilization control systems, incentive systems for the use of
least restrictive and least costly levels of care, preferred provider contracts limiting choice
of specific provider, or other systems, methods or organizations designed to contain costs
without sacrificing care or treatment outcome, provided these systems do not limit or make
optional payment or reimbursement for health care services on a basis solely related to the
license under or the practices authorized by chapter 151 or on a basis that is dependent
upon a method of classification, categorization, or description based upon differences in
terminology used by different licensees under the chapters of Title IV, subtitle 3, of the Code
in describing human ailments or their diagnosis or treatment.