{"data":{"id":"us-in/ic-27-1-37.6-15","jurisdiction":"us-in","citation":"IC 27-1-37.6-15","heading":"\"Value based health care reimbursement agreement\"","body":"Sec. 15. (a) As used in this chapter, \"value based health care reimbursement agreement\" may include the following:\n(1) An accountable care organization that has a contract with a health plan in which the health plan:\n(A) does not assume risk for prior authorization to a provider organization; or\n(B) delegates risk to a provider organization to manage prior authorization.\n(2) Bundled payments.\n(3) A capitated rate reimbursement arrangement.\n(4) A pay for performance arrangement.\n(5) Any other health care reimbursement arrangement in which the health care provider accepts at most ten percent (10%) of the downside risk.\n(b) The term does not include any of the following:\n(1) Narrow networks.\n(2) Fixed fee schedules.","path":["TITLE 27. INSURANCE","ARTICLE 1. DEPARTMENT OF INSURANCE","Chapter 37.6. Program to Reduce or Eliminate Prior Authorization Requirements for Health Care Providers"],"source_url":"https://iga.in.gov/ic/2026/Title_27.html#27-1-37.6-15","current_through":"2026","vintage":"2026","retrieved_at":"2026-09-25T05:39:04Z","sha256":"42b291ab7e0ef08b190cb3ac0105415cfd9a5f8f631d5272519ec744444e5fcf","source_id":"us-in","stale":false,"prev":"us-in/ic-27-1-37.6-14","next":"us-in/ic-27-1-37.6-16"},"notice":"GroundRules: Original legal text. Not legal advice."}