Section 2112. Financial Incentives Prohibition.--No insurer or MA or CHIP managed care plan shall use any financial incentive that compensates a health care provider for providing less than medically necessary and appropriate care to a covered person or enrollee. Nothing in this section shall be deemed to prohibit an insurer or MA or CHIP managed care plan from using a capitated payment arrangement or other risk-sharing arrangement.
(2112 amended Nov. 3, 2022, P.L.2068, No.146)