O.C.G.A.

O.C.G.A. § 33-30-20 (2019)

Short title

✓ O.C.G.A. — 2019 edition (Public.Resource.Org Release 73)

Code text and O.C.G.A. statutory annotations on this page reflect the 2019 Official Code of Georgia Annotated (Public.Resource.Org Release 73, 2019-08-21; public domain per Georgia v. Public.Resource.Org, 2020). The Syfert case-law annotations in Notes of Decisions, below, are current.

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This article shall be known and may be cited as the ‘‘Preferred Provider Arrangements Act.’’

History

Code 1981, § 33-30-20, enacted by Ga. L. 1988, p. 1483, § 1.

Annotations

JUDICIAL DECISIONS Cited in Morrell v. Wellstar Health Sys., Inc., 280 Ga. App. 1, 633 S.E.2d 68 (2006); Nat’l Renal Alliance, LLC v. Blue

Cross & Blue Shield of Ga., Inc., 598 F. Supp. 2d 1344 (N.D. Ga. 2009).

Notes of Decisions

Cited in 3 cases, 2006–2012 · leading case: Ne. Georgia Cancer Care v. Blue Cross, 726 S.E.2d 714 (Ga. Ct. App. 2012).

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Ne. Georgia Cancer Care v. Blue Cross, 726 S.E.2d 714 (Ga. Ct. App. 2012). · cites it 6× “In the words of the Commissioner, [T]he [AWP] statute references "participating provider" and "classes approved," which are terms and concepts that are at the heart of a managed care plan, such as those described in OCGA §§ 33-30-20 et seq. This is no coincidence.”

Morrell v. Wellstar Health Sys., Inc., 633 S.E.2d 68 (Ga. Ct. App. 2006). · cites it 2× “3 To promote health care cost containment while preserving quality of care, the Georgia Legislature encourages private insurers to negotiate with hospitals to charge lower rates for medical care provided to covered patients (OCGA § 33-30-20 et seq.), just as federal law *5…”

Nat'l Renal All., LLC v. Blue Cross & Blue Shield of Georgia, Inc., 598 F. Supp. 2d 1344 (N.D. Ga. 2009). · cites it 2× “Georgia also has a state statute which governs the operation of PPOs, O.C.G.A. §§ 33-30-20, et seq. Id., ¶ 39. The statute prohibits provider arrangements which “unfairly deny health benefits for medically necessary covered services” or “[hjave an adverse effect on the…”

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