The Advisory Council is comprised of past and present patients and family and Johns Hopkins staff members. Patients and their families are often the most knowledgeable members of the care team, and can offer unique perspectives and valuable feedback regarding the standard of care they receive. Patient advisors represent the views of a diverse patient group, with members providing insight which represents different genders, ages, incomes, geographic locations, information from personal inpatient or outpatient experiences, and more. Johns Hopkins advisors provide insights across a variety of medical disciplines, and include physicians, nurses, safety and service specialists and managers.
Appointment of members; staff; duties.
The term does not include: Added to NAC by Bd. Accepts risk from the organization in any form, including, without limitation, per capita payments and payments of a percentage of premiums, for one or more health care services which will be furnished to enrollees, members, policyholders or subscribers of the organization by a provider chosen by the delivery system intermediary and the delivery system intermediary assumes financial liability for the covered services; and 2.
Contracts with a provider to furnish one or more health care services to enrollees, members, policyholders or subscribers of the organization. Is responsible for the initial and primary care given to an enrollee; 2. Is responsible for maintaining the continuity of care to an enrollee; and 3.
Initiates referrals to a specialist or other person who provides specialized care to an enrollee pursuant to an evidence of coverage.
There is no agreement between the provider and organization to release the enrollee from liability for the cost of those services; and 2. The enrollee may be liable for payment should the organization become insolvent. Except as otherwise provided in this chapter or in specific provisions of title 57 of NRS, the provisions of title 57 of NRS are not applicable to any provider-sponsored organization issued a certificate of authority under this chapter.
This provision does not apply to an insurer licensed and regulated pursuant to title 57 of NRS except with respect to its activities as a provider-sponsored organization authorized and regulated pursuant to this chapter. Solicitation of enrollees by a provider-sponsored organization issued a certificate of authority, or its representatives, must not be construed to violate any provision of law relating to solicitation or advertising by practitioners of a healing art.
A provider-sponsored organization authorized under this chapter shall not be deemed to be practicing medicine and is exempt from the provisions of chapter of NRS.
The provisions of NRS A copy of the basic organizational document, if any, of the applicant, and all amendments thereto; 2.
A copy of the bylaws, rules or regulations, or similar documents, if any, regulating the conduct of the internal affairs of the applicant; 3.
A list of the names, addresses and official positions of the persons who are to be responsible for the conduct of the affairs of the applicant, including all members of the board of directors, board of trustees, executive committee, or other governing board or committee, the officers in the case of a corporation, and the partners or members in the case of a partnership or association; 4.
A copy of any contract made or to be made between any providers or persons listed in subsection 3 and the applicant; 5. A statement generally describing the provider-sponsored organization, the location of facilities at which health care services will be regularly available to enrollees and the type of health care personnel who will provide the health care services; 6.
Certified financial statements showing the assets, liabilities and sources of financial support of the applicant; 7. A financial plan that includes a 3-year projection of the initial operating results anticipated and the sources of working capital as well as any other sources of funding; 8.
A description of the proposed method of marketing; 9. A power of attorney duly executed by the applicant appointing the Commissioner and his or her duly authorized deputies as the true and lawful attorney of such applicant in and for this State upon whom all lawful process in any legal action or proceeding against the provider-sponsored organization on a cause of action arising in this State may be served; A statement reasonably describing the geographic area to be served; and A description of the procedures for the resolution of enrollee complaints.
All documents describing the financing and ownership of the organization, including financial statements and copies of any contracts made or to be made between any member of the governing board or committee, the officers of the corporation or partners of a partnership or association, or providers, and the proposed organization.
All financial statements must be certified by an independent certified public accountant.Republicans used redistricting to build a wall around the House. Trump just tore it down. For years, some Democrats said gerrymandering was an insurmountable roadblock to the House majority that couldn’t be cleared until after the census.
English vocabulary word lists and various games, puzzles and quizzes to help you study them. August 28, - The CMS Advisory Panel on Hospital Outpatient Payment recently called on the federal agency to abandon proposed changes to the B Drug Pricing Program in , which would reduce Medicare reimbursement to qualifying hospitals for drugs acquired under the program.
The purpose of this multidisciplinary guideline is to identify quality improvement opportunities in managing adult rhinosinusitis and to create explicit and actionable recommendations to implement these opportunities in clinical practice.
Advisory panel pushes back on proposed B cost increase A CMS advisory panel on Monday recommended against the Advisory Panel for Outpatient Hospital Payments recommended more research. The Advisory Panel on Hospital Outpatient Payment will be meeting August 25th, CMS permits hospitals to participate by providing information on appropriate levels of supervision.
The Panel will make recommendations to CMS about the appropriate supervision level (General, Extended Duration, or Direct) for outpatient therapeutic .