Ama Policy

Managed Care Organizations – Credentialing H-285.953

10/15/2019
Credentialing-Due Process-Denial of Contract

Policy of the AMA states that hospital medical staff privileges not be required for physician participation in managed care contract panels, that managed care entities should have an effective, physician directed peer review mechanism to fairly evaluate their participating physician. The AMA urges physicians without hospital privileges to ensure that appropriate coverage arrangements are made for the hospital care of their patients.

Policy Timeline

Sub. Res. 701, I-96 Reaffirmed and Appended by Sub. Res. 717, A-98 Reaffirmed: CMS Rep. 4, A-08 Reaffirmed: CMS Rep. 01, A-18