Use of Financial Incentive or Payment to Act as Inducement to Deny, Reduce, Limit, or Delay Services; Prohibition; Exception.

  1. Law
  2. Michigan Compiled Laws
  3. Insurance Code of 1956
  4. 218 of 1956 - The Insurance Code of 1956 (500.100 - 500.8302)
  5. Chapter 34 Disability Insurance Policies (500.3400...500.3480)
  6. Use of Financial Incentive or Payment to Act as Inducement to Deny, Reduce, Limit, or Delay Services; Prohibition; Exception.

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Sec. 3477.

(1) An insurer 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. 2016, Act 276, Imd. Eff. July 1, 2016
Popular Name: Act 218


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