Jennifer Metz

Author's posts

Health Insurance Mergers

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Read how the AMA analyzes potentially harmful mergers and works to prevent them.
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Physician

Teaching Health Systems Science

Short description: Understand the evolving field of health systems science and acquire the necessary tools and skills to successfully share this approach with medical students.Disable social sharing: Add category highlights: Hide short d…

Access Toolkits

Administrative SimplificationAccess ToolkitsAppears on:: Prior Authorization Practice Resources

Prior Authorization

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Find prior authorization resources to support reform, improve practice efficiency and provide data to highlight the need for change.

Prior authorization is a health plan cost-control process that requires providers to qualify for payment by obtaining approval before performing a service. It is overused, costly, inefficient, opaque and responsible for patient care delays.

We’re taking a number of steps to reform prior authorization this year:

  • Working with payers to reduce the overall volume of prior authorizations
  • Increasing transparency on requirements
  • Promoting automation
  • Ensuring timely care for patients

Top issue: Prior authorization

“This can delay needed treatment for patients and burdens physician practices.” – AMA President David O. Barbe, MD, MHA

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Medical Student
Patients
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AMA Payment Essentials

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Find answers to your most pressing questions on making the move from traditional fee-for-service care models to new payment and delivery models.

New payment models turn traditional fee-for-service care models inside out. Instead of strictly linking payment to the number and type of individual physician services provided, value-based care intends to link payments—at least in part—to the quality of patient care and health care resource utilization.

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Physician

Understanding Accountable Care Organizations (ACO)

Short description: Understand the main issues physicians will encounter when asked to participate in an Accountable Care Organization (ACO), whether publicly or privately funded.Disable social sharing: Add category highlights: Hide short…

Contracting With Peers, Plans, and Others

Short description: View tools and resources designed to help your practice succeed when contracting with peers, plans and additional groups.Disable social sharing: Add category highlights: Hide short description: Audience: Phys…

Succeeding With Commercial Payers

Short description: View tools and resources designed to help your practice succeed with commercial payers.Disable social sharing: Add category highlights: Hide short description: Related Content Override: Related Content for Ph…

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