Plans in two states must disclose payment methodology.
What happens when physicians know the maximum a plan will pay for a service? Do they use that information to become better negotiators or do they automatically charge the max? A court decision could provide an answer.
D054598:Blue Cross Blue Shield Insurance Plans / Q000331:legislation & jurisprudence*; D002204:Capitation Fee / Q000331:legislation & jurisprudence*; D003284:Contract Services / Q000191:economics / Q000331:legislation & jurisprudence; D005251:Fees, Medical / Q000331:legislation & jurisprudence*; D005845:Georgia; D006801:Humans; D007255:Information Services / Q000331:legislation & jurisprudence*; D012051:Reimbursement Mechanisms; D012955:Societies, Medical / Q000331:legislation & jurisprudence