Circumstances under which fully capitated health plan may contract as physician care organization
- • rules
(1) A fully capitated health plan may apply to the Oregon Health Authority to contract with the authority as a physician care organization rather than as a fully capitated health plan to provide services under this chapter.
(2) The authority shall adopt by rule the criteria for contracting with a fully capitated health plan as a physician care organization. The criteria shall include but not be limited to the following:
(a) The fully capitated health plan must show documented losses due to hospital risk and must show due diligence in managing those risks; and
(b) Contracting as a physician care organization is financially viable for the fully capitated health plan. [2003 c.810 §5a; 2009 c.595 §333; 2015 c.318 §24]
Note: 414.739 (Circumstances under which fully capitated health plan may contract as physician care organization) is repealed July 1, 2017. See section 64, chapter 602, Oregon Laws 2011, as amended by section 70, chapter 602, Oregon Laws 2011, section 23, chapter 8, Oregon Laws 2012, and section 2, chapter 792, Oregon Laws 2015.
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