decisionhealth Newsletters, Part B News - 2002 Issue 10 (October)
FFS payments to be part of new M+C PPO pilot
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Article Overview
This article explains the new CMS Medicare+Choice PPO pilot, including its scope, timing, participating private plans, and the way physician networks and payment arrangements were being set up. It is relevant to readers tracking Medicare managed care policy, private plan demonstrations, and provider contracting changes affecting seniors and participating physicians.
Why This Topic Matters
It helps stakeholders understand a major Medicare demonstration affecting plan participation, physician billing relationships, and beneficiary access options in multiple states.
What You Will Learn
- The general purpose and scale of the Medicare+Choice PPO pilot
- How private plans and physician networks were being organized for the demonstration
- Which organizations and geographic areas were mentioned as participating
- The broader policy context for the pilot within Medicare managed care
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Healthcare administrators
- Payer policy analysts
- Physician group leadership
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