Nebraska Administrative Code
Topic - INSURANCE, DEPARTMENT OF
Title 210 - NEBRASKA DEPARTMENT OF INSURANCE
Chapter 44 - SCOPE OF COVERAGE TO BE OFFERED BY THE NEBRASKA COMPREHENSIVE HEALTH INSURANCE POOL
Section 210-44-005 - Cost containment
Universal Citation: 210 NE Admin Rules and Regs ch 44 ยง 005
Current through March 20, 2024
005.01 The policy offered by the Comprehensive Health Insurance Pool may include one or more cost containment features which affect the level of benefits which will be paid. For purposes of this rule, "Cost Containment" is defined as formal activity related to the control of health services costs through efforts such as improved efficiency, utilization review, or claims review. It includes, but is not limited to, the following:
005.01A Hospital
Confinement Preauthorization;
005.01B Outpatient Surgery;
005.01C Hospital Preadmission
Testing;
005.01D Prescription Drug
Management and
005.01E Preferred
provider insurance arrangement.
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