So far there have been over 250 insurance related bills introduced in this Texas legislative session. We are seeing quite a few bills that will impact the growing market trend towards health care pricing transparency. Many of these bills will benefit Cash Pay Centric Health Plans.
Sec. 1276.054. SHARED SAVINGS PAYMENT. (a) Except as | |
provided by Subsection (b), if an enrollee who requests a | |
disclosure under Section 1276.052 elects and receives a health care | |
service or supply the actual cost of which is less than the amount | |
disclosed under Section 1276.052, the health benefit plan issuer or | |
administrator shall pay to the enrollee 50 percent of the | |
difference between the amount disclosed under Section 1276.052 and | |
the actual cost, minus any applicable deductible, copayment, or | |
coinsurance. |