R.S. 22:1008

Health and accident policy provisions; provider contracts; prohibited incentives ACTIVE

A. No hospital or medical service contract, health and accident policy, or any other insurance contract of this type shall include provisions which include an incentive or specific payment made directly, in any form, to a health care provider or health care provider group as an inducement to deny, reduce, limit, or delay specific, medically necessary, and appropriate services provided with respect to a specific insured or groups of insureds with similar medical conditions.

B. Nothing in this Section shall be construed to prohibit contracts that contain incentive plans that involve general payments, such as capitation payments, or shared-risk arrangements that are not tied to specific medical decisions involving specific insured or groups of insureds with similar medical conditions. The payments rendered or to be rendered to physicians, physician groups, or other licensed health care providers under these arrangements shall be deemed confidential information.

Actions

References

None.

Cited by

None.

History

  • enactment Acts 1997, No. 897, §1

Section navigation

Cite R.S. 22:1008

Bluebook
La. Rev. Stat. Ann. § 22:1008 (2026).
Permalink
https://theusufruct.com/rs/title-22/section-1008
BibTeX
@misc{larevstat-22-1008,
  title        = {La. Rev. Stat. Ann. § 22:1008},
  howpublished = {Louisiana Revised Statutes},
  year         = {2026},
  url          = {https://theusufruct.com/rs/title-22/section-1008},
  note         = {Snapshot 2026-05-22}
}