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NASHP Model Act to Limit Out-of-Network Provider Rates

NASHP

NOVEMBER 9, 2022

This model legislation limits out-of-network rates for inpatient and outpatient hospital services to the lesser of (a) the state’s median in-network commercial rate for the same service; or (b) [X]% of the Medicare rate for the same service in the same geographic area.

Regulations

Regulations Medicare Tricare Hospitals

Health Care Quality Digest

NASHP Model Act to Limit Out-of-Network Provider Rates

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