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The Healthy Competition for Better Care Act prohibits health plans and insurance issuers from entering into contracts with healthcare providers that restrict the plans' ability to direct or steer patients to other providers, offer incentives to use specific providers, or negotiate independently with provider affiliates. The bill creates exceptions for health maintenance organizations operating through exclusive multi-specialty physician groups and value-based network arrangements such as accountable care organizations and centers of excellence. It requires the Secretaries of Health and Human Services, Labor, and Treasury to issue regulations within one year and applies to group health plans, individual health insurance coverage, and self-insured plans under federal law.
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