Nevada Administrative Code (Last Updated: January 6, 2015) |
Chapter695C Health Maintenance Organizations; Provider-Sponsored Organizations |
DELIVERY SYSTEM INTERMEDIARY |
NAC695C.515. Commissioner may order cancellation or renegotiation of health service contract under certain circumstances.
Latest version.
- The Commissioner may order the immediate cancellation or renegotiation of any health service contract if he or she determines that the contract:
1. Provides for excessive payments for health care services;
2. Fails to include incentives for the containment of the costs of providing health care services to enrollees or subscribers; or
3. Otherwise substantially or unreasonably contributes to an increase in the cost of providing health care services to enrollees or subscribers.
(Added to NAC by Comm’r of Insurance by R129-96, eff. 10-29-97)