Category: AMA

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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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…

Opioids: Share Your Story on how epidemic has impacted your practice

Share Your StoryTake PartAppears on:: Prescription Drug Misuse, Overdose & DeathMedical Student Section (MSS) Community Service Opportunities Appears on category: Reversing the Opioid Epidemic

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…

AMA Code of Medical Ethics

The AMA Code of Medical Ethics guides physicians to meet the ethical challenges of medical practice.
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The Principles of Medical Ethics and the Opinions of the AMA Council on Ethical & Judicial Affairs make up the AMA Code of Medical Ethics. View the Concordance to compare Opinions issued prior to June 2016 to the modernized Opinions adopted in 2016.

Access CME courses about medical ethics in the AMA Education Center to advance your knowledge about meeting ethical standards in your relationships with patients, other health professionals and in your practice.

Changing Practices

Transform Now

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