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PART I. ADMINISTRATION OF THE GOVERNMENT

TITLE II. EXECUTIVE AND ADMINISTRATIVE OFFICERS OF THE COMMONWEALTH

CHAPTER 6A. EXECUTIVE OFFICES

EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES
Chapter 6A: Section 16J. Definitions applicable to Secs. 16J to 16L

  Section 16J. As used in this section and in sections 16K and 16L, the following words shall, unless the context clearly requires otherwise, have the following meanings:--

  "Clinician'', a health care professional licensed under chapter 112.

  "Council'', the health care quality and cost council, established by section 16K.

  "Facility'', a hospital, clinic or nursing home licensed under chapter 111 or a home health agency.

  "Health care provider'', a clinician, a facility or a physician group practice.

  "Insurer'', a carrier authorized to transact accident and health insurance under chapter 175, a nonprofit hospital service corporation licensed under chapter 176A, a nonprofit medical service corporation licensed under chapter 176B, a dental service corporation organized under chapter 176E, an optometric service corporation organized under chapter 176F and a health maintenance organization licensed under chapter 176G.

  "Physician group practice'', 2 or more physicians who deliver patient care, make joint use of equipment and personnel and divide income by a prearranged formula.

[ Definition of "Third party administrator'' added by 2008, 305, Sec. 2 effective August 10, 2008.]

  "Third party administrator'', an entity that administers payments for health care services on behalf of a client plan in exchange for an administrative fee.