physician incentive plan
Defined in 3 places of the United States Code.
For purposes of this subparagraph, the term “physician incentive plan” means any compensation arrangement between an entity and a physician or physician group that may directly or indirectly have the effect of reducing or limiting services provided with respect to individuals enrolled with the entity.
Source
- 1994–present42 U.S.C. § 1395NNThe Public Health and Welfare · Limitation on certain physician referrals · in this section
In this paragraph, the term “physician incentive plan” means any compensation arrangement between a Medicare+Choice organization and a physician or physician group that may directly or indirectly have the effect of reducing or limiting services provided with respect to individuals enrolled with the organization under this part.
Source
- 1997–present42 U.S.C. § 1395WThe Public Health and Welfare · Benefits and beneficiary protections · under this part
In this paragraph, the term “physician incentive plan” means any compensation arrangement between an eligible organization and a physician or physician group that may directly or indirectly have the effect of reducing or limiting services provided with respect to individuals enrolled with the organization.
Source
- 1994–present42 U.S.C. § 1395MMThe Public Health and Welfare · Payments to health maintenance organizations and competitive medical plans · under this section