Managed Care
Listed below are direct links to Council on Medical Service (CMS) reports from June 1998 to the present related to managed care. The recommendations in these reports reflect the final actions of the AMA House of Delegates and are official AMA policy.
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Acceptance of TRICARE Health Insurance
CMS Report 2, I-08
Medical Care Outside the United States (PDF, 37KB)
CMS Report 1, A-08
The Role of Cash Payments in All Physician Practices (PDF, 46KB)
CMS Report 3, A-08
Value-Based Decision-Making in the Health Care System (PDF, 44KB)
CMS Report 7, A-08
Study of Cost Sharing Arrangements in Prescription Drugs (PDF, 31KB)
CMS Report 1, I-07
Fixed Reimbursement to Physicians for Laboratory Services (PDF, 36KB)
CMS Report 2, I-06
Update on Disease Management (PDF, 47KB)
CMS Report 4, A-06
Impact of the Health Maintenance Organization Act of 1973 (PDF, 142KB)
CMS Report 4, A-04
Limiting Financial Incentives to Withhold Appropriate Care (PDF, 84KB)
CMS Report 4, I-03
Hospital and Physician Payment for Uncompensated Care, Teaching, and Research (PDF, 94KB)
CMS Report 7, I-02
Medical Care "Carve-Outs" (Word, 36KB)
CMS Report 7, A-02
Continuity of Physicians and Pharmaceuticals in Managed Care Organizations (Word, 52KB)
CMS Report 8, A-02
TRICARE Contracting and Billing Issues (Word, 92KB)
CMS Report 1, I-01
Criteria for Level of Care Status (Word, 38KB)
CMS Report 5, I-01
Inappropriate Bundling of Medical Services by Third Party Payers (Word, 60KB)
CMS Report 6, I-01
Contact Capitation of Specialists (Word, 53KB)
CMS Report 1, A-01
Consistent Use of CPT Modifiers and Guidelines for Multiple or Bilateral Procedures (Word, 42KB)
CMS Report 2, A-01
Access to Mental Health Services (Word, 52KB)
CMS Report 9, A-01
Physicians' Experiences with Retrospective Denial of Payment and Down-Coding by Managed Care Plans (Word, 42KB)
CMS Report 5, I-00
Mental Health "Carve-Outs" (Word, 45KB)
CMS Report 6, I-00
Managed Care Organization Reimbursement Formulas (Word, 60KB)
CMS Report 6, A-00
Denial of Care and Appeal Mechanisms by Managed Care Companies (Word, 63KB)
CMS Report 8, A-00
