Tex. Insurance Code § 843.316
This is the official text of Tex. Insurance Code § 843.316, part of Texas’s Insurance Code — regulates insurance companies and the policies they sell.
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§ 843.316. ALTERNATIVE CAPITATION SYSTEM.
Official statutory text
As an alternative to the procedures prescribed by Section 843.315, a health maintenance organization may request approval from the department of a capitation payment system that ensures:
(1) immediate availability and accessibility of a primary care physician or primary care provider; and
(2) payment to a primary care physician or primary care provider of a capitated amount certified by a qualified actuary to be actuarially sufficient to compensate the primary care physician or primary care provider for the risk assumed.
(1) immediate availability and accessibility of a primary care physician or primary care provider; and
(2) payment to a primary care physician or primary care provider of a capitated amount certified by a qualified actuary to be actuarially sufficient to compensate the primary care physician or primary care provider for the risk assumed.
Status: in_force · Read it on the official government site
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