Current through September 17, 2024
Section 210-44-005 - Cost containment005.01 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 and005.01E Preferred provider insurance arrangement.210 Neb. Admin. Code, ch. 44, § 005