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Health Plan Activities/Policies

Term and Termination in Provider Contracts

The WSMA believes health plan provider agreements should provide that: 1) the non-compensation terms of any agreement should be binding throughout the relationship of the parties; 2) a provider be given a reason in writing when a plan exercises the "without cause" clause in a contract; 3) the compensation terms for each plan or product should be re-negotiated annually and reviewed or rejected individually; and, 4) whenever a contract is terminated, a reason for such termination must be stated in writing. (Res C-14, A-99) (Reaffirmed A-17)

The WSMA believes the reasons for termination of health plan provider agreements should be given, whether at the end of the agreement's term or otherwise. (Res C-14, A-99) (Reaffirmed A-17)

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Abbreviations for House of Delegates report origination:

EC – Executive Committee; BT – Board of Trustees; CPA – Council on Professional Affairs; JC – Judicial Council; CHS – Community and Health Services

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