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Private Healthcare Facilities and Services Act 1998 · s 82

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s 82Interpretation of managed care organization

(1)

For the purpose of this Part, “managed care organization”

means any organization or body, with whom a private healthcare facility or service makes a contract or has an arrangement or intends to make a contract or have an arrangement to provide specified types or quality or quantity of healthcare within a specified financing system through one or a combination of the following mechanisms:

(a)

delivering or giving healthcare to consumers through the organization or body’s own healthcare provider or a third party healthcare provider in accordance with the contract or arrangement between all parties concerned;

64 Laws of Malaysia ACT 586

(b)

administering healthcare services to employees or enrollees on behalf of payors including individuals, employers or financiers in accordance with contractual agreements between all parties concerned.

(2)

The Minister may from time to time by notification in the

Gazette declare any type of healthcare delivery arrangement other than those specified in subsection (1) to be managed care organization.