Section 500.3542 - Inducement to health professional prohibited; exception.
THE INSURANCE CODE OF 1956 (EXCERPT)
Act 218 of 1956
500.3542 Inducement to health professional prohibited; exception.
Sec. 3542.
(1) A health maintenance organization shall not use any financial incentive or make any payment to a health professional that acts directly or indirectly as an inducement to deny, reduce, limit, or delay specific medically necessary and appropriate services.
(2) Subsection (1) does not prohibit payment arrangements that are not tied to specific medical decisions or prohibit the use of risk sharing as otherwise authorized in this chapter.
History: Add. 2000, Act 252, Imd. Eff. June 29, 2000
Popular Name: Act 218
Popular Name: HMO