Texas § 848.103 PAYMENT BY GOVERNMENTAL OR PRIVATE ENTITY.

Texas Statutes

§ 848.103 — PAYMENT BY GOVERNMENTAL OR PRIVATE ENTITY.

Texas § 848.103

Code INInsurance Code

This text of Texas § 848.103 (PAYMENT BY GOVERNMENTAL OR PRIVATE ENTITY.) is published on Counsel Stack Legal Research, covering Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Tex. Insurance Code Code Ann. § 848.103 (2026).

Text

Sec. 848.103. PAYMENT BY GOVERNMENTAL OR PRIVATE ENTITY.

(a)A health care collaborative may:

(1)contract for and accept payments from a governmental or private entity for all or part of the cost of services provided or arranged for by the health care collaborative; and

(2)distribute payments to participating physicians and health care providers.

(b)Notwithstanding any other law, a health care collaborative that is in compliance with this code, including Chapters 841 , 842 , and 843 , as applicable, may contract for, accept, and distribute payments from governmental or private payors based on fee-for-service or alternative payment mechanisms, including:

(1)episode-based or condition-based bundled payments;

(2)capitation or global payments; or

(3)pay-for-performance or quality-based p

Free access — add to your briefcase to read the full text and ask questions with AI

Sec. 848.103. PAYMENT BY GOVERNMENTAL OR PRIVATE ENTITY. (a) A health care collaborative may:
(1) contract for and accept payments from a governmental or private entity for all or part of the cost of services provided or arranged for by the health care collaborative; and
(2) distribute payments to participating physicians and health care providers.
(b) Notwithstanding any other law, a health care collaborative that is in compliance with this code, including Chapters 841 , 842 , and 843 , as applicable, may contract for, accept, and distribute payments from governmental or private payors based on fee-for-service or alternative payment mechanisms, including:
(1) episode-based or condition-based bundled payments;
(2) capitation or global payments; or
(3) pay-for-performance or quality-based payments.
(c) Except as provided by Subsection (d), a health care collaborative may not contract for and accept payment from a governmental or private entity on a prepaid, capitation, or indemnity basis unless the health care collaborative is licensed as a health maintenance organization or insurer. The department shall review a health care collaborative's proposed payment methodology in contracts with governmental or private entities to ensure compliance with this section.
(d) A health care collaborative may contract for and accept compensation on a prepaid or capitation basis from a health maintenance organization or insurer.