(a) As used in this chapter, "value based health care reimbursement agreement" may include the following:
(1) An accountable care organization that has a contract with a health plan in which the health plan:
- (A) does not assume risk for prior authorization to a provider organization; or
- (B) delegates risk to a provider organization to manage prior authorization.
- (2) Bundled payments.
- (3) A capitated rate reimbursement arrangement.
- (4) A pay for performance arrangement.
- (5) Any other health care reimbursement arrangement in which the health care provider accepts at most ten percent (10%) of the downside risk.
(b) The term does not include any of the following:
- (1) Narrow networks.
- (2) Fixed fee schedules.
As added by P.L.203-2023, SEC.19.