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Tiered Networks for Physician and Hospital Health Care Services (pdf)
February 15, 2009
White paper on tiering by Paul Fronstin of the Employee Benefit Research Institute. Published August 2003.
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Physician Payment Reform - Lischko (pdf)
June 11, 2008
MMS-sponsored analysis of the relative strengths of some alternative physician payment models.
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Interview Excerpts with HHS Secretary JudyAnn Bigby, M.D.
December 14, 2007
Excerpts of the transcript of Vital Signs interview with HHS Secretary JudyAnn Bigby, M.D.
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Physician Agreement for BCBS Settlement (pdf)
July 9, 2007
PHYSICIAN AGREEMENT MANAGED CARE ADVISORY GROUP, LLC (MCAG) Assistance with Submission of Claims under the Blue Cross Blue Shield Physician Settlement This agreement is entered into on this date by and on behalf of (Physician/Provider Group hereinafter referred to as “Client”) with principal...
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MMS Physician Guide to Commonwealth Care/Choice (pdf)
May 1, 2007
Physician Guide to Commonwealth Care/Choice 2007 Massachusetts Medical Society – All Rights Reserved. Massachusetts Medical Society Physician Guide to Commonwealth Care/Choice Table of Contents Page 1. Overview………………………………………………………………………….. 1-4 Commonwealth Care……………………………………………………….. 2...
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MMS Principles for the Use of Prior Authorization Programs
February 23, 2007
Updated, February 2007: Health plans have implemented pre-certification/pre-authorization processes with potentially serious effects on the management of physician practices and physicians’ relationships with patients.
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Analysis of Health Plan Compliance With Chapter 141
September 18, 2006
This MMS study, updated in September 2006, reviews compliance with the 2000 law regulating health plan practices.
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Chapter 141 Analysis (pdf)
September 18, 2006
CHAPTER 141 OF THE ACTS OF 2000 AN ACT RELATIVE TO MANAGED CARE PRACTICES IN THE INSURANCE INDUSTRY ANALYSIS OF THE COMPLIANCE WITH THE REGULATIONS 2ND REPORT September 2006 1 I. BACKGROUND On July 21, 2000, former Governor Paul Cellucci signed Chapter 141 of the Acts of 2000, an Act Relative to...
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Expanding Health Insurance Access
April 7, 2006
Key provisions include expanding health insurance access, making coverage more affordable, addressing quality and cost issues, expanding public health and prevention initiatives, and reducing racial and ethnic disparities
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MMS Principles for the Use of Prior Authorizaton Programs (PDF)
February 15, 2006
Summary Principles for the Use of Prior Authorization Programs January 2006Massachusetts Medical Society January 2006 www.massmed.org 2 Background Information The Massachusetts Medical Society (Society) acknowledges that the cost of care is rising rapidly and the current rate of health care...
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MMS Principles for Universal Insurance Coverage
May 13, 2005
Principles for health care reform approved by the MMS House of Delegates in May 2005.
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Heath Care Costs
January 25, 2005
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Aetna Settlement Fact Sheet (pdf)
September 22, 2003
Aetna Settlement Fact Sheet Prepared By The Massachusetts Medical Society Office Of The General Counsel On May 21, 2003, a settlement was arrived at in the lawsuit brought by a class of physicians and several medical societies against Aetna, Inc. The suit alleges federal racketeering, conspiracy...
