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CHAPTER ENTER CHAPTER NAME Nashp Form
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People also ask
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What is anti-tiering?
Anti-Tiering or Anti-Steering means any written or unwritten agreement between a Health Care Provider and a Health Plan that prohibits the Health Plan from placing the Health Care Provider in a tiered Health Plan product for the purpose of steering members to Health Care Providers based on objective price, access, and/ ...
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What is the mission of the NASHP?
NASHP is a nonprofit organization whose mission is to be of, by, and for all states by providing nonpartisan support for the development of policies that promote and sustain healthy people and communities, advance high quality and affordable health care, and address health equity.
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What is an anti-steering clause?
Anti-tiering/Anti-steering Clause: a contractual requirement that an insurer place all physicians, hospitals, and other facilities associated with a hospital system in the most favorable tier of providers (i.e. anti-tiering) or at the lowest cost-sharing rate to avoid steering patients away from that network (i.e. anti ...
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What is antitrust in healthcare?
The antitrust laws allow physicians who sufficiently integrate their practices by sharing financial risk to act jointly, in general, unless such activity monopolizes or is an attempted monopolization of a market.
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What is anti-competitive law?
It is illegal for businesses to act together in ways that can limit competition, lead to higher prices, or hinder other businesses from entering the market.
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What is anti competitive behavior of a cartel?
There are certain forms of anti-competitive conduct that are known as cartel conduct. These include agreeing with your competitors to: sell goods or services at the same price or agree to a pricing structure. restrict or control the amount of goods or services available to customers.
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