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