New federal rule: HMOs must disclose physician pay

Article Abstract:

The federal government has issued new regulations that require health maintenance organizations (HMOs) providing Medicare and Medicaid services to disclose their physicians' pay in order to elucidate the payment of incentives linked to the denial of care. The pay disclosure mandate is in effect when over one-quarter of the physicians' income is derived through capitation, bonus or withholding arrangements. HMOs must buy stop-loss insurance to cover the risk linked to physicians' refusal of medical care.

HEALTH SERVICES, Health Maintenance Organizations, HMO Medical Centers, Health Programs, Laws, regulations and rules, Public health, Medicaid

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Signs of hope in budget deadlock; push to save Medicare could benefit doctors

Article Abstract:

The political battle over the 1996 federal budget is starting to yield some alternative proposals for Medicare reform that promise significant savings in healthcare costs, even while reducing the amount to be taken from physicians' compensation. Conservative democrats in the House are proposing a reduction in Medicare spending of $127 billion over a seven year period in conjunction with a single conversion factor system for physician payments.

Health Care Services, Finance, Medical care, Budget, Budgeting, Budgets, Political aspects

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