Clinical Integration definition
Examples of Clinical Integration in a sentence
At such time as HMHP implements its Clinical Integration program as a Clinically Integrated Network, HMHP may negotiate and enter into contracts with Payors that include all terms related to the delivery of Covered Services, including price and other terms related to payment (“CI Payor Contracts”).
Practice and the Participating Physicians understand that Clinical Integration and the success of HMHP as a Clinically Integrated Network require Practice’s and the Participating Physicians’ active and ongoing participation.
As required by a Payor Contract and to ensure the success of the HMHP’s Clinical Integration program to achieve quality and cost efficiencies in the delivery of Covered Services, Practice and the Participating Physicians shall refer Enrollees, when medically appropriate, only to other HMHP Providers.
Practice, therefore, agrees that it and its Participating Physicians shall cooperate in the development and implementation of HMHP’s Clinical Integration program.
Within ten (10) calendar days of receipt of such written statement the House Staff Officer may appeal the action to the Senior Vice President of Clinical Integration and Affiliations of the Medical Center by making a written request.
PURPOSE: In order to meet the standards established for Clinical Integration (“CI”) by the Federal Trade Commission and U.S. Department of Justice, and for purposes of administering the GSQN CI Program, GSQN is required to maintain selection criteria for its participating physicians and physician practices.
GSQN is a Louisiana limited liability company organized for the purpose of developing and operating the Clinical Integration Program described herein.
Physician and CIN have executed this Clinical Integration Physician Participation Agreement, which shall become effective as of the date and year first written above when accepted by CIN below.
Physician agrees that there shall be no monetary liability on the part of, and no cause of action for damages against, any person participating in the Clinical Integration and utilization management program (including but not limited to CIN and its employees and representatives, CIN physicians and their employees and representatives) for any action taken, statements made or information given by any such person in good faith and without malice.
CIN agrees to provide human capital investments in support of Clinical Integration, including, but not limited to, infrastructure development and maintenance, and provision of appropriate professional staff.