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Managed care contracting

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Fourth Edition, AMA Model Managed Care Contract (2005)

The Fourth Edition (2005) of the AMA Model Managed Care Contract offers a reasonable alternative to the one-sided, take-it-or-leave-it contracts physicians typically receive from health plans. The Model Contract includes 10 supplemental discussion pieces on a range of important issues including medical necessity/external review, "all products" provisions, and restrictions and obligations after a contract is terminated.

15 Questions to Ask Before Signing a Managed Care Contract

15 Questions to Ask Before Signing a Managed Care Contract provides a roadmap as physicians evaluate contracts. It is designed to complement the AMA Model Managed Care Contract.

A Guide to working with health plan representatives

A helpful flyer for physicians to use when speaking to health plan representatives.
Last updated:Apr 14, 2008
Content provided by: Private Sector Advocacy