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  • PART I ADMINISTRATION OF THE GOVERNMENT
    (Chapters 1 through 182)
  • TITLE II EXECUTIVE AND ADMINISTRATIVE OFFICERS OF THE
    COMMONWEALTH
  • CHAPTER 6A EXECUTIVE OFFICES
  • Section 16J Definitions applicable to Secs. 16J to 16L

[ Text of section effective until November 4, 2012. Repealed by 2012, 224, Sec. 7.]

  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.