Quality Management definition
Examples of Quality Management in a sentence
When Cigna chooses to terminate Provider’s participation with respect to its commercial HMO plans, the advisory review panel shall be composed of physicians and providers appointed by Cigna, including at least one representative in Provider’s specialty or a similar specialty, if available, who serve on a standing Quality Management committee or Utilization Management committee.
Provider shall comply with the requirements of and participate in Quality Management as specified in the Administrative Guidelines.
When Cigna chooses to terminate Provider’s participation with respect to its commercial HMO plans, the advisory review panel shall be composed of physicians and Providers appointed by ▇▇▇▇▇, including at least one representative in Provider’s specialty or a similar specialty, if available, who serve on a standing Quality Management committee or Utilization Management committee.
Nothing in this Agreement, including Provider’s participation in care collaboration, population management, pay for performance, Quality Management, Utilization Management, and other similar programs, nor any coverage determination made by Cigna or a Payor, is intended to interfere with or affect Provider’s independent judgment in providing health care services to its patients.