HNE's affirmative statement regarding incentives to encourage appropriate utilization and discourage under-utilization 

It is Health New England’s (HNE) policy:

• To encourage open clinical dialogue between HNE providers and our members. HNE providers always have been, and continue to be, free to communicate with members regarding the treatment options available to them, including medication treatment options, regardless of benefit coverage limitations.
  
  
• Decisions regarding patient care are made based upon the appropriateness of care and the services rendered. This process reflects the need to avoid under-utilization of necessary services. In the event that a service is denied, the decision is based upon the appropriateness of the service within the scope of covered benefits. HNE does not offer incentives to encourage denials, nor is compensation tied to denials.