Medicare Provider Service Networks

Medicare Provider Service Networks

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A hearing on the important issue of establishing provider-sponsored networks, called PSNs, in the Medicare program. Although all sides agree that PSNs should be able to participate as Medicare risk contractors, there is a fundamental disagreement on how they should be regulated, particularly in regard to solvency standards. Testimony from the following organizations: Amer. Acad. of Actuaries; Amer. Medical Assoc.; Health Insur. Assoc. of Amer.; Blue Cross a Blue Shield; Amer. Medical Group Assoc.; Amer. Hospital Assoc.; various insurers; Amer. Assoc. of Health Plans; a the Premier Inst.If there are indications of financial problems, the examination will be more comprehensive than otherwise. ... such areas as an organizationa#39;s marketing and sales, and its payment of claims and involve the review of numerous records and files.

Title:Medicare Provider Service Networks
Author: Michael Bilirakis
Publisher:DIANE Publishing - 1997-06-01

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