"Value based health care reimbursement agreement"

Sec. 15. (a) As used in this chapter, "value based health care reimbursement agreement" may include the following: (1) An accountable care organization that has a contract with a health plan in which the health plan: (A) does not assume risk for prior authorization to a provider organization; or (B) delegates risk to a provider organization to manage prior authorization. (2) Bundled payments. (3) A capitated rate reimbursement arrangement. (4) A pay for performance arrangement. (5) Any other health care reimbursement arrangement in which the health care provider accepts at most ten percent (10%) of the downside risk. (b) The term does not include any of the following: (1) Narrow networks. (2) Fixed fee schedules. As added by P.L.203-2023, SEC.19.