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§ 15-1902. Contracts between carriers and clinically integrated organizations

West's Annotated Code of MarylandInsuranceEffective: October 1, 2014

West's Annotated Code of Maryland
Insurance (Refs & Annos)
Title 15. Health Insurance
Subtitle 19. Clinically Integrated Organizations (Refs & Annos)
Effective: October 1, 2014
MD Code, Insurance, § 15-1902
§ 15-1902. Contracts between carriers and clinically integrated organizations
Currentness
Provisions relating to payment for services and incentives
(a) Notwithstanding any other provision of this article or the Health--General Article, a contract between a carrier and a clinically integrated organization may include a provision to pay:
(1) for services associated with the coordination of covered medical services to qualifying individuals; and
(2) a bonus, fee-based incentive, bundled fees, or other incentives to promote the efficient, medically appropriate delivery of covered medical services to qualifying individuals.
Regulations
(b) The Commissioner, in consultation with the Maryland Health Care Commission, may adopt regulations specifying the types of payments and incentives permissible under this section.
Copy of contract filed with Commissioner
(c)(1) A carrier shall file a copy of a contract between the carrier and a clinically integrated organization with the Commissioner.
(2) If the contract includes a provision to pay a bonus or other incentive that does not comply with § 15-113 of this title, the Commissioner shall provide a copy of the contract to the executive director of the Maryland Health Care Commission.
(3) Notwithstanding any other provision of law, a copy of a contract filed with the Commissioner or provided by the Commissioner to the executive director of the Maryland Health Care Commission under this subsection, is:
(i) confidential and privileged;
(ii) not subject to:
1. Title 4 of the General Provisions Article;
2. subpoena; or
3. discovery; and
(iii) not admissible in evidence in any private action.

Credits

Added by Acts 2010, c. 598, § 1, eff. July 1, 2010; Acts 2010, c. 599, § 1, eff. July 1, 2010. Amended by Acts 2014, c. 104, § 2, eff. Oct. 1, 2014.
MD Code, Insurance, § 15-1902, MD INSURANCE § 15-1902
Current through legislation effective through April 9, 2023, from the 2024 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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