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AMA Policies

Find all American Medical Association House of Delegates policies and Council on Ethical and Judicial Affairs ethical opinions applicable to managed care contracting and the relationship between contracted physicians and health insurers and other payers.

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Ama Policy

Managed Care Plans and the Right to Set Fees H-383.994

12/30/2021
Our AMA opposes any government or hospital requirement that a hospital-based physician must accept the terms of any managed care plan accepted by the hospital.

Policy Timeline

Sub. Res. 704, A-01 Reaffirmed: CMS Rep. 7, A-11 Reaffirmed: CMS Rep. 1, A-21
Fee Schedules
Ama Policy

CPT Coding System H-70.974

Fee Schedules
Ama Policy

Insurance Coverage for Immunizations H-185.969

12/30/2021
Fee Schedules
Ama Policy

Insurance Industry Behaviors D-385.949

08/30/2022
Fee Schedules
Ama Policy

Coverage of Emergency Services D-130.989

12/30/2021
Fee Schedules
Ama Policy

Opposition to Elimination of “Incident-to” Billing for Non-Physician Practitioners D-160.915

12/30/2021
Ama Policy

Audio-Only Telehealth for Risk Adjusted Payment Models D-480.962

12/30/2021
Risk—Physicians Taking
Ama Policy

Promoting Accountability in Prior Authorization D-285.960

12/30/2021
State Medical Necessity Decisions-Deadlines, U.R. Criteria
Ama Policy

Managed Care Medical Director Liability H-285.939

12/30/2021
Liability-insurer shifting to physician
Ama Policy

Value-Based Decision-Making in the Health Care System H-450.938

12/30/2021
Risk—Physicians Taking