Section 15-1901 – Definitions
(a) In this subtitle the following words have the meanings indicated. (b) “Carrier” means: (1) an insurer; (2) a nonprofit health service plan; or (3) a health maintenance organization. (c) “Clinically integrated organization” means: (1) a joint venture between a hospital and physicians that: (i) has received an advisory opinion from the Federal Trade Commission or its staff; and (ii) has been established to: […]
Section 15-1902 – Contract Between Carrier and a Clinically Integrated Organization
(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 […]
Section 15-1903 – Sharing Medical Information
Notwithstanding any other provision of this article or the Health – General Article, a carrier shall share medical information about a qualifying individual with a clinically integrated organization and its members if: (1) the carrier has a written agreement with the clinically integrated organization specifying the type and proposed use of medical information to be shared; […]