SB162
Regards timing of health insurer recoupment from providers
Current Status: In Senate Committee (Financial Institutions, Insurance and Technology)
Summary
This bill amends section 3901.388 of the Revised Code to establish that payments made by health insurers to providers are considered final two years after payment, with specific conditions for recoupment of overpayments. It requires insurers to notify providers of overpayments and allows for an appeal process without fees. Any contractual provisions contrary to these rules are deemed unenforceable.
Rationale
The bill introduces regulations on health insurer practices, which may conflict with the LP's emphasis on minimal government intervention in contracts and economic freedom. However, it provides some protections for providers, aligning partially with LPO principles regarding fair treatment in economic transactions.
Risks and Concerns
- Increased regulatory burden on insurers
- Potential for reduced flexibility in contract negotiations
- Possibility of unintended consequences affecting provider-insurer relationships