Sec. 3a.
An organization that establishes a prudent purchaser agreement shall disclose in writing to all purchasers of its coverage and to all covered members of its plans upon request the financial relationships between the organization and its participating health care providers, health care facilities, or other similar entities, including all of the following as applicable:
(a) Whether a fee-for-service arrangement exists, under which the provider is paid a specified fee for each particular covered service rendered to each covered individual.
(b) Whether a capitation arrangement exists, under which a fixed amount is paid to the provider for all covered services rendered to each covered individual.
(c) Whether payments to providers are made according to how well the provider meets criteria regarding costs, quality, patient satisfaction, or other criteria.
History: Add. 1996, Act 518, Eff. Oct. 1, 1997 Compiler's Notes: For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.
Structure Michigan Compiled Laws
Chapter 550 - General Insurance Laws
Act 233 of 1984 - Prudent Purchaser Act (550.51 - 550.63)
Section 550.53b - Prudent Purchaser Agreement Services; Providing Requested Information to Insurer.
Section 550.54 - Discrimination Prohibited; Complaint of Violation; Hearing; Penalty.
Section 550.55 - Notice of Membership in Provider Panels; Display.
Section 550.57 - Agreements Between Health Care Providers and Purchasers of Health Care Services.
Section 550.58 - Organization Subject to Enabling Act; Financial Records.
Section 550.59 - Report on Competition in Retail Pharmacy Industry.
Section 550.60 - Repealed. 2005, Act 203, Imd. Eff. Nov. 10, 2005.
Section 550.61 - Repealed. 1988, Act 282, Imd. Eff. July 27, 1988.
Section 550.62 - Provisions Inapplicable to Certain Contracts and Renewal Thereof.