As used in this article 38, unless the context otherwise requires:
"Carrier" shall have the same meaning as set forth in section 10-16-102, C.R.S.
"Commissioner" means the commissioner of insurance.
"Consumer" includes members of the public, health care consumers and potentialhealth care consumers, purchasers of health insurance plans, or patients.
(3.5) "Dentist" means a dentist licensed under the "Dental Practice Act", article 220 of title 12.
"Designation" means an award, assignment, characterization, or representation of thecost efficiency, quality, or other assessment or measurement of the care or clinical performance of any physician or dentist that is disclosed or intended for disclosure to the public or persons actually or potentially covered by a health plan, by use of a grade, star, tier, rating, profile, or any other form of designation. "Designation" does not include:
Information that is derived solely from health plan member feedback such as
satisfaction ratings; or
Information for programs designed to assist health plan members with estimating aphysician's or dentist's routine fees or costs.
"Health care entity" means any carrier or other entity that provides a plan of healthcare coverage to beneficiaries under a plan.
"Methodology" means the method by which a designation is determined, including,but not limited to, the use of algorithms or studies, evaluation of data, application of guidelines, or performance measures.
"Physician" means any physician licensed under the "Colorado Medical Practice Act", article 240 of title 12.
Source: L. 2008: Entire article added, p. 2013, § 1, effective September 1. L. 2015: (3.5) added and IP(4) and (4)(b) amended, (HB 15-1191), ch. 95, p. 271, § 3, effective August 5. L. 2019: IP, (3.5), and (7) amended, (HB 19-1172), ch. 136, p. 1706, § 172, effective October 1.