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Minimizing Risks to Patients in High-Stakes Provider-Payer Contract Disputes

In this report, researchers reviewed laws and interviewed state officials and insurers in six states—California, Georgia, Massachusetts, North Carolina, Pennsylvania, and Texas—to determine current policies and best practices to protect patients from disruptions in services and financial burdens as a result of disputes between providers and payers.

These states were chosen for geographic diversity and because each had recently experienced a high-profile contract dispute between providers and payers.