Notwithstanding any other provision of this chapter, program plans shall contain cost containment features, which may include managed care and utilization management, to control the amount of high-cost policy losses without creating excessive adverse health care outcomes.
Effective: April 10, 1998

Terms Used In Kentucky Statutes 304.17A-450

  • Managed care: means systems or techniques generally used by third-party payors or their agents to affect access to and control payment for health care services and that integrate the financing and delivery of appropriate health care services to covered persons by arrangements with participating providers who are selected to participate on the basis of explicit standards for furnishing a comprehensive set of health care services and financial incentives for covered persons using the participating providers and procedures provided for in the plan. See Kentucky Statutes 304.17A-005

History: Created 1998 Ky. Acts ch. 496, sec. 20, effective April 10, 1998.

  Previous section
Next section  
 Subtitle 17A Contents