No individual who is performing utilization review may receive any financial incentive based on the number of adverse determinations made by such individual, provided that utilization review organizations may establish medically appropriate performance standards. This prohibition does not apply to financial incentives established between health plan companies and providers.
Minn. Stat. § 62M.12
PROHIBITION OF INAPPROPRIATE INCENTIVES.
1992 c 574 s 12; 1999 c 239 s 30; 2020 c 114 art 2 s 16
Official source: Minnesota Office of the Revisor of Statutes. Reproduced from public-domain Minnesota statutes; confirm against the official source for the current text. Not legal advice.