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42 U.S. Code § 1395cc-3. Health care quality demonstration program
(a) DefinitionsIn this section:
(1) Beneficiary
The term “beneficiary” means an individual who is entitled to benefits under part A and enrolled under part B, including any individual who is enrolled in a Medicare Advantage plan under part C.
(2) Health care group
(A) In generalThe term “health care group” means—
(i)
a group of physicians that is organized at least in part for the purpose of providing physician’s services under this subchapter;
(ii)
an integrated health care delivery system that delivers care through coordinated hospitals, clinics, home health agencies, ambulatory surgery centers, skilled nursing facilities, rehabilitation facilities and clinics, and employed, independent, or contracted physicians; or
(iii)
an organization representing regional coalitions of groups or systems described in clause (i) or (ii).
(B) Inclusion
As the Secretary determines appropriate, a health care group may include a hospital or any other individual or entity furnishing items or services for which payment may be made under this subchapter that is affiliated with the health care group under an arrangement structured so that such hospital, individual, or entity participates in a demonstration project under this section.
(3) Physician
Except as otherwise provided for by the Secretary, the term “physician” means any individual who furnishes services that may be paid for as physicians’ services under this subchapter.