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<section article="gin" article_name="Insurance" number="15-1902" title_number="15" title_name="Health Insurance" subtitle_number="19" subtitle_name="Clinically Integrated Organizations">
  <level label="a">
    <text>Notwithstanding any other provision of this article or the Health – General Article, a contract between a carrier and a clinically integrated organization may include a provision to pay:</text>
    <level label="1">
      <text>for services associated with the coordination of covered medical services to qualifying individuals; and</text>
    </level>
    <level label="2">
      <text>a bonus, fee–based incentive, bundled fees, or other incentives to promote the efficient, medically appropriate delivery of covered medical services to qualifying individuals.</text>
    </level>
  </level>
  <level label="b">
    <text>The Commissioner, in consultation with the Maryland Health Care Commission, may adopt regulations specifying the types of payments and incentives permissible under this section.</text>
  </level>
  <level label="c">
    <level label="1">
      <text>A carrier shall file a copy of a contract between the carrier and a clinically integrated organization with the Commissioner.</text>
    </level>
    <level label="2">
      <text>If the contract includes a provision to pay a bonus or other incentive that does not comply with § 15–113 of this title, the Commissioner shall provide a copy of the contract to the executive director of the Maryland Health Care Commission.</text>
    </level>
    <level label="3">
      <text>Notwithstanding any other provision of law, a copy of a contract filed with the Commissioner or provided by the Commissioner to the executive director of the Maryland Health Care Commission under this subsection, is:</text>
      <level label="i">
        <text>confidential and privileged;</text>
      </level>
      <level label="ii">
        <text>not subject to:</text>
        <level label="1">
          <text>Title 4 of the General Provisions Article;</text>
        </level>
        <level label="2">
          <text>subpoena; or</text>
        </level>
        <level label="3">
          <text>discovery; and</text>
        </level>
      </level>
      <level label="iii">
        <text>not admissible in evidence in any private action.</text>
      </level>
    </level>
  </level>
</section>
