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Md. Code Ann., Ins. § 15-1902 - Contracts between carriers and clinically integrated organizations

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A contract between a health insurer and a clinically integrated organization may include a provision to pay:

  • For services associated with the coordination of covered medical services to individuals;
  • A bonus, fee-based incentive, bundled fees or other incentives to promote the efficient, medically appropriate delivery of covered medical services to individuals.

Notes:
A "clinically integration organization" is equivalent to an "accountable care organization" as defined in MD. CODE ANN., INS. § 15-1901.


Current as of June 2015