ITEMS IN FPM ON TOPIC:
Health plan contracts
The article provides step-by-step instructions for evaluating health plan contracts and determining which ones to keep and which ones to drop.
The author, a practice administrator, offers 10 tips for improving the efficiency of billing and collection processes.
The article discusses conflicts between medical necessity (what patients need as well as what they want but don't need) and medical benefit (what their insurance policies cover and don't cover) and the problems this creates for family physicians and their patients. The article will include a handout for patients and strategies for physicians who find themselves stuck in the middle of these conflicts.
Many patients will be losing their Medicare Plus Choice Coverage, and this article will help physicians guide those patients who have lost such coverage.
Aruges that the mud slung at the managed care industry recently has sullied the perfectly good, and necessary, term "managed care." Promises a number of articles on quality improvement and evidence-based medicine in FPM.
The article provides background on the development of the AAFP's position paper "Principles of Interaction With Health Plans" followed by the full text of the paper.
The author recounts how his practice was affected when negotiations with a hospital system and MSO fell apart and offers readers basic advice on how to evaluate a business venture.
This article will continue the key points from sessions offered during the Managed Care Forum at the 1998 AAFP Scientific Assembly.
This article explores how six family physicians in two practices in a small community in Texas successfully joined forces to better their position in managed care negotiations.