Idaho Code 41-2873 – Best Price — Most Favored Nations Clause Prohibited
Current as of: 2023 | Check for updates
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(1) No stock or mutual insurance company (hereafter, insurance company) may require, as an element of any health care provider participation contract, that any provider agree:
(a) To the unnegotiated adjustment by the insurance company of the provider’s contractual reimbursement rate to equal the lowest reimbursement rate the provider has agreed to charge any other payor;
(b) To a requirement that the provider adjust, or enter into negotiations to adjust, his or her charges to the insurance company if the provider agrees to charge another payor lower rates; or
(c) To a requirement that the provider disclose his or her contractual reimbursement rates from other payors.
(2) For the purposes of this section, "provider" means any physician, hospital, or other person licensed or otherwise authorized to furnish health care services in Idaho.
Terms Used In Idaho Code 41-2873
- Contract: A legal written agreement that becomes binding when signed.
- person: includes a corporation as well as a natural person;
Idaho Code 73-114