Massachusetts Statutes

§ 9A — Agreements or contracts between carrier and health care provider prohibited if containing certain provisions

Massachusetts·Part I ADMINISTRATION OF THE GOVERNMENT·Title XXII CORPORATIONS·Ch. 176O HEALTH INSURANCE CONSUMER PROTECTIONS

Section 9A. A carrier shall not enter into an agreement or contract with a health care provider if the agreement or contract contains a provision that:

(a)(i) limits the ability of the carrier to introduce or modify a select network plan or tiered network plan by granting the health care provider a guaranteed right of participation;
(ii)requires the carrier to place all members of a provider group, whether local practice groups or facilities, in the same tier of a tiered network plan;
(iii)requires the carrier to include all members of a provider group, whether local practice groups or facilities, in a select network plan on an all-or-nothing basis; or (iv) requires a provider to participate in a new select network or tiered network plan that the carrier introduces without granting the pr

Free access — add to your briefcase to read the full text and ask questions with AI

Massachusetts § 9A (Agreements or contracts between carrier and health care provider prohibited if containing certain provisions) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

View on official source ↗