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Digest
SB 1014 clarifies that health insurance plans in Texas may enter into value-based and capitated payment arrangements with primary care physicians and physician groups. These alternative payment models compensate doctors based on patient outcomes rather than traditional fee-for-service structures. The bill prohibits insurers from penalizing or excluding providers who choose not to participate in value-based contracts. It also requires that these contracts be transparent, allowing physicians access to financial and performance data, and prohibits payment structures that create disincentives for medically necessary care.
Author
Kevin Sparks