The Academy is committed to pursuing advocacy related activities with health plans, specialty societies, employers, and other private sector entities. This includes but is not limited to researching, building relationships with, and maintaining open communication with these entities.
Related Subcommittee: Payment Policy (PP)
PP Staff Liaison: Katie Kuechenmeister
Take a survey about problems with health insurers
AMA Practice Tip: Preparing for Health Insurer Retrospective Audits
The American Medical Association (AMA), with cooperation from the American Academy of Neurology, created the educational resource "How to prepare for a health insurer retrospective audit" to educate physicians and their practice staff about the recoupment efforts of health insurers through the retrospective audit process. Physician practices can use this resource to guide them through the retrospective audit process from the initial notification from the health insurer to contesting the audit's findings.
Visit the AMA Practice Management Center website to access the educational resource "How to prepare for a health insurer retrospective audit." AMA members can download this informative educational resource as a member benefit.
As a physician, you know there is strength in numbers. The AMA helps all physicians, regardless of specialty or practice setting, speak with a unified voice on the most important issues facing medicine. Please encourage the physicians in your practice to join or renew their AMA membership online, by calling (800) 262-8335.
Academy, Specialty Societies, Meet with Blue Cross Blue Shield Association
Working with a coalition of specialty societies, the Academy arranged a July meeting at the Blue Cross Blue Shield Association (BCBSA) offices in Chicago to discuss areas of mutual interest and potential collaboration between physicians and insurers in the face of a changing health care landscape.
AMA Practice Tip: How to Prepare for Physician Profiling
The American Medical Association (AMA) Private Sector Advocacy unit created the educational resource "Physician profiling: How to prepare your practice" for physicians to reference when preparing for health insurers' profiling programs. This resource offers physician practices information on the five steps that encompass the basic elements of the physician profiling process: contract language, program metrics, data, coding, and patient education.
Visit the AMA Private Sector Advocacy website to access "Physician profiling: How to prepare your practice" and other educational resources.
As a physician, you know there is strength in numbers. The AMA helps all physicians, regardless of specialty or practice setting, to speak with a unified voice on the most important issues facing medicine. Please encourage the physicians in your practice to join or renew their membership at the AMA membership page or calling (800) 262-8335.
AMA Practice Tips Related to Payer Advocacy
- Negotiating Contracts (February 17, 2009)
- Losing revenue through inappropriate health insurer adjustments (March 10, 2009)
- Resources for Physician Profiling (June 2009)
Contact Us With Your Payer Grievance
Payment Policy Subcommittee Recommends Resource for Payer Negotiations
Members of the Payment Policy Subcommittee reviewed and now recommend The Physician's Comprehensive Guide to Negotiating with Payers as an additional resource to assist Academy members in their payer negotiations and contracting. Written specifically for physicians, the book gives detailed examples of achieving success through the application of essential negotiating skills.
Purchase the book and view many other resources at the AAN Store.