Kentucky Statutes 304.17A-560 – Most-favored-nation provision
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(1) No insurance contract with a provider shall contain a most-favored-nation provision except where the commissioner determines that the market share of the insurer is nominal.
(2) Nothing in this section shall be construed to prohibit a health insurer and a provider from negotiating payment rates and performance-based contract terms that would result in the health insurer receiving a rate that is as favorable, or more favorable, than the rates negotiated between a provider and other health insurance issuers.
Effective: July 15, 2010
History: Amended 2010 Ky. Acts ch. 24, sec. 1233, effective July 15, 2010. — Created
1998 Ky. Acts ch. 496, sec. 37, effective April 10, 1998.
(2) Nothing in this section shall be construed to prohibit a health insurer and a provider from negotiating payment rates and performance-based contract terms that would result in the health insurer receiving a rate that is as favorable, or more favorable, than the rates negotiated between a provider and other health insurance issuers.
Terms Used In Kentucky Statutes 304.17A-560
- Contract: A legal written agreement that becomes binding when signed.
- Insurer: means any insurance company. See Kentucky Statutes 304.17A-005
- provider: means any:
(a) Advanced practice registered nurse licensed under KRS Chapter 314. See Kentucky Statutes 304.17A-005
Effective: July 15, 2010
History: Amended 2010 Ky. Acts ch. 24, sec. 1233, effective July 15, 2010. — Created
1998 Ky. Acts ch. 496, sec. 37, effective April 10, 1998.