Health plan contracts

Apr 2003 Issue
Evaluating Health Plans: Finding the Keepers [Feature]

The article provides step-by-step instructions for evaluating health plan contracts and determining which ones to keep and which ones to drop.

Mar 2002 Issue
11 Tips for More Productive Billing [Getting Paid]

The author, a practice administrator, offers 10 tips for improving the efficiency of billing and collection processes.

Jun 2001 Issue
Making Sense of Health Plan Denials [Feature]

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.

Oct 1999 Issue
What to Tell Your Patients When Their Medicare Managed Care Plan Quits [Getting Paid]

Many patients will be losing their Medicare Plus Choice Coverage, and this article will help physicians guide those patients who have lost such coverage.

Mar 1999 Issue
Rescuing Managed Care From the Wreckage of Managed Care [Editor's Page]

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.

Feb 1999 Issue
Ground Rules for Dealing With Health Care Plans [Feature]

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.

Feb 1999 Issue
An Expensive Dinner: Surviving a Failed Business Venture [Feature]

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.

Feb 1999 Issue
More Take-Home Messages From the AAFP Assembly [Feature]

This article will continue the key points from sessions offered during the Managed Care Forum at the 1998 AAFP Scientific Assembly.

May 1998 Issue
Rural Practice and Managed Care: A Success Story [Feature]

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.

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