265.916 NYS DOH Review of Provider Contracts:
That MSSNY seek legislation, regulation or other appropriate means to assure that the Department of Health review health plan standard provider contracts to assure that the contract terms contained are fair to physicians and patients in those situations where the health plan holds a 10% market share in a particular region of the State; and to assure that the Commissioner of Health or the Superintendent of Insurance organize roundtable meetings between health insurance companies and physician representatives for the specific purpose of discussing and attempting to resolve problematic contract terms in standard health plan contracts. (HOD 2006-65; Reaffirmed HOD 2016)
