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17:48H-1 Definitions relative to organized delivery systems for health care services benefits.
New Jersey Statutes (Unannotated) / NEW JERSEY GENERAL AND PERMANENT STATUTES (UPDATED THROUGH P.L.2023, c.256, and J.R.18) / TITLE 17 CORPORATIONS AND INSTITUTIONS FOR FINANCE AND INSURANCE
...
17
:
48H-1
Definitions
relative
to
organized
delivery
systems
for
health
care
services
benefits
.
17
:
48H-1
Definitions
relative
to
organized
delivery
systems
for
health
care
services
benefits
. 1. As used in this act: "Affiliate" means a person that directly, or indirectly through one or more intermediaries, controls, or is controlled by, or...
... is under common control with, the
organized
delivery
system. "Capitation" means a fixed per member, per month, payment or percentage of premium payment for which the provider assumes the risk for the cost...
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