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9 sections in this chapter.
Mass. Gen. Laws ch. 176T, § 1 Definitions
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Section 1. As used in this chapter the following words shall, unless the context clearly requires otherwise, have the following meanings:— ''Alternative payment contract'', any contract between a provider or provider organization and a health care payer payer which utilizes alter…
Mass. Gen. Laws ch. 176T, § 2 Risk-bearing provider organization not subject to chapters 175, 176A, 176B, 176C, 176E, 176F, 176G and 176J
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Section 2. Except as hereinafter provided, a risk-bearing provider organization shall not be subject to chapters 175, 176A, 176B, 176C, 176E, 176F, 176G and 176J; provided, however, that a risk-bearing provider organization that enters into a contract with employers or individual…
Mass. Gen. Laws ch. 176T, § 3 Risk certificate application; waiver; form; fee
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Section 3. (a) Each registered provider organization that enters into or renews an alternative payment contract with a carrier or public health care payer in which the provider organization accepts downside risk shall file an application for a risk certificate with the division; …
Mass. Gen. Laws ch. 176T, § 4 Examination of risk-bearing provider organization's alternate payment arrangements with downside risk; report
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Section 4. (a) The commissioner may make an examination of the affairs of a risk-bearing provider organization regarding its alternate payment arrangements with downside risk when the commissioner deems prudent but, not less frequently than once every 3 years. The focus of the ex…
