An AI model extracted this from the bill’s official record and can make mistakes. Check the official text ↗ (opens in new tab)

An AI model extracted this from the bill’s official record and can make mistakes. Check the official text ↗ (opens in new tab)

Health insurance issuer

A company that offers or sells health insurance policies.

Applicable provider

Any healthcare entity, like a doctor's office or clinic, that gets paid for services under Medicare Part B or Medicare Advantage plans. This term specifically excludes hospitals, rural emergency hospitals, critical access hospitals, medical equipment suppliers, and pharmacies.

Management services organization

A company that provides administrative, technical, or non-clinical services to healthcare providers, usually under a contract.

Common ownership

When the same person or company directly or indirectly owns, operates, or controls both an insurance company and a healthcare provider.

Divestment

The process of selling off or getting rid of an asset or subsidiary business. In this bill, it means selling either the insurance company or the healthcare provider.

Disgorge

To give up illegally obtained profits or revenues. In this bill, it means returning money earned while in violation of the common ownership rules.

Medicare Advantage organization

A private health insurance company that contracts with Medicare to provide Medicare benefits to people enrolled in their plans.