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State Health Plan Releases New Provider Contracts

As previously reported, the State Health Plan, through its “Clear Pricing Project” is moving to a reference-based pricing system based on Medicare Rates. Physician professional services will be paid at 160% of Medicare rates. This represents an increase for some independent primary care physicians. The new contracts, recently approved by the Department of Insurance, will […]

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NC Treasurer Announces Move to Reference-Based Pricing for State Employees Health Plan

Late last week, North Carolina Treasurer Dale Folwell announced a move to reference-based pricing for the State Employees Health Plan. Starting in 2020, the plan will base all payments on a percentage of Medicare. Professional services, which includes most physician payment, will be based on 160 percent of 2018 Medicare rates for all physicians in […]

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