 In
Copyright Since September 11,
2000This web site is in no manner affiliated with any Kaiser entity and the for profit Permanente Permission is granted to mirror this web site - Please acknowledge where the material was obtained. Kaiser Permanente Medical Service Agreement ARTICLE B
Introductory Provisions Section B-1: Functions of Health Plan
Health Plan arranges Medical and Hospital Services
through contractual arrangements with physicians and hospitals.
Section B-2. Functions of Medical Group
Medical Group is a
group
of physicians organized
for the purpose of conducting a medical practice, including the
rendering
of Medical Services to Members. Medical Group is familiar
with the
nature and extent of Medical Services required under Group and
Individual
Membership Contracts now in Effect, and is prepared to provide or
arrange
Medical Services to Members through the personal services of its
present
or prospective physicians or other health care providers available to
Medical
Group.
Section B-3. Mutual Desire to Contract Regarding Medical Services
Health Plan desires to arrange by contract
for Medical Services, in the Service Area, required to satisfy, or
convenient
of incidental in connection with satisfying, the Medical Services
obligations
of Membership Contracts. Medical Group desires to arrange or
provide
Medical Services for the consideration and subject to the terms and
conditions
set forth in this Agreement.
Section B-4. Independence of Contracting Parties
A fundamental feature of the Medical Care Program
is that Health Plan and Medical Group are separate and
independent.
The relations of Health Plan with Medical Group are purely contractual,
and neither Health Plan nor any employee thereof is the agent,
employee,
or other representative of Medical Group nor is Medical Group or any
employee
thereof an agent, employee, or other representative of Health Plan.
Section B- 5. Rights of Third Parties Although
this Agreement contemplates Medical
Services for Members, Health Plan and Medical Group reserve the right
to
amend this Agreement by mutual agreement or to terminate it without
notice
to, or consent of, any Member, and nothing herein contained will
operate
in any manner whatsoever to increase the rights of any Member or the
duties
or responsibilities of Medical Group or Health Plan over such rights,
duties
and responsibilities as may exist in the absence of this Agreement.
Section B-6. Liaison and Cooperation The nature
of the Medical Care Program is such that efficient operations,
in the interest of providing comprehensive benefits to Members at the
most
reasonable cost consistent with desirable standards of Medical and
Hospital
Services, requires continuing and effective liaison and close
cooperation
between Health Plan and Medical Group. Health Plan and
Medical Group
desire that, to the fullest extent consistent with separate and
independent
management, such liaison and cooperation be maintained.
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