Private Healthcare Facilities and Services Act 1998 · Updated to 1 Dec 2015 · Part XV · Managed Care Organization
82. Interpretation of managed care organization
Official textFrom Laws of Malaysia Online, unchanged
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:
private healthcare facility
“private healthcare facility” means any premises, other than a Government healthcare facility, used or intended to be used for the provision of healthcare services or health-related services, such as a private hospital, hospice, ambulatory care centre, nursing home, maternity home, psychiatric hospital, psychiatric nursing home, community mental health centre, haemodialysis centre, medical clinic, dental clinic and such other healthcare or health-related premises as the Minister may from time to time, by notification in the Gazette, specify;
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;
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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.
The Minister may from time to time by notification in the
Minister
“Minister” means the Minister charged with the responsibility for health;
Gazette declare any type of healthcare delivery arrangement other than those specified in subsection (1) to be managed care organization.
Terms defined in s 2
healthcare services
Defined · s 2“healthcare services” includes— (a) medical, dental, nursing, midwifery, allied health, pharmacy, and ambulance services and any other service provided by a healthcare professional; (b) accommodation for the purpose of any service provided under this Act; (c) any service for the screening, diagnosis, or treatment of persons suffering from, or believed to be suffering from, any disease, injury or disability of mind or body; (d) any service for preventive or promotive health purposes; (e) any service provided by any healthcare para-professional; (f) any service for curing or alleviating any abnormal condition of the human body by the application of any apparatus, equipment, instrument or device or any other medical technology; or (g) any health-related services;
Minister
Defined · s 2“Minister” means the Minister charged with the responsibility for health;
private healthcare facility
Defined · s 2“private healthcare facility” means any premises, other than a Government healthcare facility, used or intended to be used for the provision of healthcare services or health-related services, such as a private hospital, hospice, ambulatory care centre, nursing home, maternity home, psychiatric hospital, psychiatric nursing home, community mental health centre, haemodialysis centre, medical clinic, dental clinic and such other healthcare or health-related premises as the Minister may from time to time, by notification in the Gazette, specify;
Part XVI
Enforcement
Part XVII
Power of Minister
Part XVIII
Miscellaneous
Part XIX