Navigation Links
Maine Law Further Protects Health Care Providers in Preferred Provider Arrangements
Date:7/30/2013

Alexandria, VA (PRWEB) July 30, 2013

A new Maine law will give physical therapists and other health care providers additional protections when they enter into contracts for preferred provider arrangements. Public Law 399 (LD 1466) will require health plans to disclose certain information and materials to providers at the time a preferred provider arrangement contract is offered. The legislation will prohibit contracts that allow health insurance companies to make changes to key terms, such as reimbursement rates, without the provider’s written consent after the agreement has been entered. The new provisions will take effect October 8.

LD 1466 requires organizations entering into a preferred provider agreement to allow health care providers the opportunity to review certain information, including the fee schedule or terms of payment if there is no fee schedule; policies and procedures to which the provider will be bound; and the identity of carriers for which the provider is agreeing to provide services. It also requires written consent from the provider for any payer requirements or fee schedules that materially differ from the contract, unless those terms are set out in a separate section of the contract, such as an exhibit or amendment, and prohibits the terms of existing preferred provider contracts from being superseded by a carrier’s subsequent contract with a health plan payer.

“This legislation levels the playing field for providers by granting greater access to the information they need to make informed decisions before entering into these preferred provider arrangements, and it will prevent changes to the terms of service or rates of reimbursement after a provider has entered into a contract,” said APTA President Paul A. Rockar Jr, PT, DPT, MS. “Patients benefit when the marketplace provides a variety of choices for the physical therapist services they need.”

LD 1466 was sponsored by Maine Senate Majority Leader Seth Goodall (D-19), and supported by the Maine Chapter of the American Physical Therapy Association.

MPTA, the Maine Chapter of the American Physical Therapy Association, is a professional membership association serving nearly 600 active and retired physical therapists and physical therapist assistants, and students of physical therapy.

The American Physical Therapy Association represents more than 85,000 physical therapists, physical therapist assistants, and students of physical therapy nationwide. Learn more about conditions physical therapists can treat and find a physical therapist in your area at http://www.MoveForwardPT.com. Consumers are encouraged to follow us on Twitter (@MoveForwardPT) and Facebook.

# # #

Read the full story at http://www.prweb.com/releases/2013/7/prweb10978239.htm.


'/>"/>
Source: PRWeb
Copyright©2012 Vocus, Inc.
All rights reserved

Related medicine news :

1. Classe Wines Announces Availability of 2007 Domaine Du Pourra La Reserve Gigondas
2. Classe Wines Offers 2008 Pinot Noir Domaine Jean-Michel Guillon Les Crais in Limited Quantity
3. 2000 Domaine Barat Chablis Premier Cru "Les Fourneaux" Available in Limited Quantity from Classe Wines
4. Zane Benefits Publishes New Information on Maine Health Insurance Exchange
5. Premier Cru, Gem of French Winemaking Arrives in the United From Domaine Bzikot Made Available by Classe Wines
6. Policy Meets Practice at 23th Annual Maine Geriatrics Conference
7. University of Maine Football Completes Ground-Breaking Team Leadership and Emotional Intelligence Training Program
8. Vein Healthcare Center in South Portland, Maine Hosts Varicose Vein Seminar
9. High Schoolers Can 'Smile' While Exploring Dental Careers at Summer Camp in Maine
10. Study of Vanuatu Further Identifies Behaviors That Cause Obesity
11. DePuy ASR Lawsuit News: Bernstein Liebhard LLP Reports Further Progress in New Jersey State DePuy ASR Recall Litigation
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/12/2016)... ... February 12, 2016 , ... ... at Zuckerberg San Francisco General Hospital on April 5-7. The series is a ... create new habits. The workshops cover a broad range of topics, including coaching ...
(Date:2/12/2016)... ... ... Every winter, someone is killed, injured or loses a home in an accident ... of the Allegheny Health Network, has partnered with Etna Volunteer Fire Department, and Monroeville ... , “Space Heaters Need Space” aims to bring awareness to the risks ...
(Date:2/12/2016)... ... February 12, 2016 , ... AssureVest Insurance Group, a ... initiating a charity drive that will raise funds earmarked to purchase computers and software ... Elementary School. , “My school is in a low-income area and has more than ...
(Date:2/12/2016)... ... ... Vail knee specialist Robert LaPrade, MD, PhD was named one of ... of physicians establishing, leading and partnering with ambulatory surgery centers across the United States. ... also known as an ASC, is a modern health care facility focused on providing ...
(Date:2/12/2016)... ... 12, 2016 , ... Young Asset Protection, a full service ... the latest charity campaign in their community enrichment program. Art Expression utilizes after-school ... cause are currently being accepted at: http://artexpressioninc.org/ . , Art Expression is ...
Breaking Medicine News(10 mins):
(Date:2/11/2016)... LONDON , Feb. 11, 2016 The ... current and future adoption patterns on the usage of ... include the following: - Timeframe of liquid ... types—CTCs, ctDNA, cfDNA and Evs—by organization type - Sample ... sample types: blood, saliva, stool, serum, and so on. ...
(Date:2/11/2016)... , Feb. 11, 2016 ... commonly used in laboratories. These may range from microscope ... Laboratory glassware is made from borosilicate glass because of ... plasticware, on the other hand, started gaining popularity over ... was easier to replace glass with plastic in several ...
(Date:2/11/2016)... DUNKIRK, N.Y. , Feb. 11, 2016  Governor ... Athenex that will create 1,400 jobs throughout ... by a partnership with the SUNY Polytechnic Institute, includes ... the Conventus Building in Buffalo , ... square foot manufacturing facility in Dunkirk ...
Breaking Medicine Technology: