Medicare Provider Service Networks

Medicare Provider Service Networks

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A hearing on the important issue of establishing provider-sponsored networks, called PSNs, in the Medicare program. Although all sides agree that PSNs should be able to participate as Medicare risk contractors, there is a fundamental disagreement on how they should be regulated, particularly in regard to solvency standards. Testimony from the following organizations: Amer. Acad. of Actuaries; Amer. Medical Assoc.; Health Insur. Assoc. of Amer.; Blue Cross a Blue Shield; Amer. Medical Group Assoc.; Amer. Hospital Assoc.; various insurers; Amer. Assoc. of Health Plans; a the Premier Inst.Extended periods of time for application processing are often the result of inadequate information from the applicant or lack of ... and stockholders and not through such mechanisms as lines of credit, letters of credit, or subscription agreements. ... The Wisconsin Office of the Commissioner of Insurance examines the business plan submitted by the HMO to assess its ... of annual health care expenditures (except those paid on a capitated basis or managed hospital payment basis) andanbsp;...

Title:Medicare Provider Service Networks
Author:Michael Bilirakis
Publisher:DIANE Publishing - 1997-06-01


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