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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.

To search for an exact phrase, you should enclose the entire phrase in quotation marks. For example, "patient care".
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Ama Policy

Managed Behavioral Health Organizations (MBHOs) H-285.921

12/30/2021
U.R. Criteria
Ama Policy

Prevent Medicare Advantage Plans from Limiting Care D-285.959

12/30/2021
U.R. Criteria
Ama Policy

Use and Release of Physician-Specific Health Care Data H-406.996

03/05/2021
Profiling
Ama Policy

Aligning Clinical and Financial Incentives for High-Value Care D-185.979

08/30/2022
Risk—Physicians Taking
Ama Policy

Limitation of Use of Time Component of Current Procedural Terminology (CPT-4) Coding H-70.976

03/05/2021
Fee Schedules, Payment Edits
Ama Policy

Prevention of Misuse of Current Procedural Terminology (CPT) H-70.927

03/05/2021
Payment Edits
Ama Policy

Protecting the Patient-Physician Relationship H-165.837

03/05/2021
Risk—Physicians Taking
Ama Policy

Strengthening the Accountability of Health Care Reviewers D-185.977

08/30/2022
State Medical Necessity Decisions-Deadlines
Ama Policy

Covenants Not to Compete D-265.988

03/05/2021
Restrictive Covenants
Ama Policy

Restriction of Physicians from Performing Procedures by Managed Care Organizations H-383.996

02/02/2021
Fee Schedules