285.000 – Managed Care

H-285.002: Managed Care, Growth of HMOs

IMS approves the concept of neutral public policy and fair market competition among licensed physicians. The potential growth of HMOs is not to be determined by federal ...

H-285.002: Managed Care, Growth of HMOs

IMS approves the concept of neutral public policy and fair market competition among licensed physicians. The potential growth of HMOs is not to be determined by federal ...

H-285.007: Managed Care, Admission Criteria for Panels

IMS asserts that all physicians should have the right to apply to any managed care entity and be judged for admission based on physician-developed objective ...

H-285.007: Managed Care, Admission Criteria for Panels

IMS asserts that all physicians should have the right to apply to any managed care entity and be judged for admission based on physician-developed objective ...

H-285.008: Managed Care, Selection Criteria for Panels

IMS supports requiring managed care organizations to disclose to physicians that criteria used to select, retain, or exclude a physician, including the criteria used to ...

H-285.008: Managed Care, Selection Criteria for Panels

IMS supports requiring managed care organizations to disclose to physicians that criteria used to select, retain, or exclude a physician, including the criteria used to ...

H-285.009: Managed Care, Admit Provider Solely on Willingness to Abide by Requirements of Entity

IMS opposes any legislation which would require a managed care entity such as an independent physician association (IPA), health maintenance organization ...

H-285.009: Managed Care, Admit Provider Solely on Willingness to Abide by Requirements of Entity

IMS opposes any legislation which would require a managed care entity such as an independent physician association (IPA), health maintenance organization ...

H-285.011: Managed Care, Point of Service

IMS supports requiring all health plans or sponsors of such health plans that restrict a patient’s choice of physicians or hospitals to offer, at the time of enrollment and at least for ...

H-285.011: Managed Care, Point of Service

IMS supports requiring all health plans or sponsors of such health plans that restrict a patient’s choice of physicians or hospitals to offer, at the time of enrollment and at least for ...

H-285.014: Managed Care, Care of Patients Is Paramount

IMS reaffirms that care of our patients is of paramount concern. ...

H-285.014: Managed Care, Care of Patients Is Paramount

IMS reaffirms that care of our patients is of paramount concern. ...

H-285.015: Managed Care, Medical Benefit Expense Ratio

IMS supports having the insurance commissioner require all health benefit plans to provide to each enrollee or prospective enrollee, written information ...

H-285.015: Managed Care, Medical Benefit Expense Ratio

IMS supports having the insurance commissioner require all health benefit plans to provide to each enrollee or prospective enrollee, written information ...

H-285.016: Managed Care, Grievance Procedures

IMS supports requiring all health benefit plans to establish grievance procedures for use by enrollees and physicians to resolve health benefit issues. ...

H-285.016: Managed Care, Grievance Procedures

IMS supports requiring all health benefit plans to establish grievance procedures for use by enrollees and physicians to resolve health benefit issues. ...

H-285.017: Managed Care, Insurance Commissioner Oversight of Grievance Processes

IMS supports requiring all health benefit plans to disclose to patients and providers the process for receiving complaints and for timely responses to the enrollees’ ...

H-285.017: Managed Care, Insurance Commissioner Oversight of Grievance Processes

IMS supports requiring all health benefit plans to disclose to patients and providers the process for receiving complaints and for timely responses to the enrollees’ ...

H-285.018: Managed Care, Utilization Review and Grievance Processes

IMS believes patients and their authorized representatives should have the right to participate in all levels of the utilization review and grievance processes. ...

H-285.018: Managed Care, Utilization Review and Grievance Processes

IMS believes patients and their authorized representatives should have the right to participate in all levels of the utilization review and grievance processes. ...

H-285.019: Managed Care, Physician Penalty for Following Grievance Procedures

IMS believes a health plan should be prohibited from penalizing a physician solely because the physician has followed the grievance procedure on behalf of a patient or ...

H-285.019: Managed Care, Physician Penalty for Following Grievance Procedures

IMS believes a health plan should be prohibited from penalizing a physician solely because the physician has followed the grievance procedure on behalf of a patient or ...

H-285.020: Managed Care, Proximate Geographic Access

IMS supports requiring all health benefit plans to demonstrate that they assure proximate geographic access to physicians in appropriate specialties and to other ...

H-285.020: Managed Care, Proximate Geographic Access

IMS supports requiring all health benefit plans to demonstrate that they assure proximate geographic access to physicians in appropriate specialties and to other ...

H-285.021: Managed Care, Hold Harmless Clauses

IMS supports legislation to prohibit “hold harmless” clauses in contracts between health plans and providers. ...

H-285.021: Managed Care, Hold Harmless Clauses

IMS supports legislation to prohibit “hold harmless” clauses in contracts between health plans and providers. ...

H-285.023: Managed Care, Streamline Credentialing

IMS supports pursuing voluntary processes to streamline the credentialing and re-credentialing of physicians by hospital medical staffs and insurance companies. ...

H-285.023: Managed Care, Streamline Credentialing

IMS supports pursuing voluntary processes to streamline the credentialing and re-credentialing of physicians by hospital medical staffs and insurance companies. ...

H-285.024: Managed Care, Work with Stakeholders to Streamline Credentialing

IMS supports working with organizations throughout the state of Iowa that credential physicians and/or pursuing legislative remedies to streamline the credentialing ...

H-285.024: Managed Care, Work with Stakeholders to Streamline Credentialing

IMS supports working with organizations throughout the state of Iowa that credential physicians and/or pursuing legislative remedies to streamline the credentialing ...

H-285.025: Managed Care, Universal Credentialing Form

IMS supports actively promoting the adoption of a standardized universally acceptable short form for renewal or recertification ...

H-285.025: Managed Care, Universal Credentialing Form

IMS supports actively promoting the adoption of a standardized universally acceptable short form for renewal or recertification ...

H-285.026: Managed Care, Retroactive Billing for Services Provided during Credentials Process

IMS supports working with the Iowa Insurance Commissioner or, if necessary, the Iowa General Assembly, to require that all insurers providing health insurance in the...

H-285.026: Managed Care, Retroactive Billing for Services Provided during Credentials Process

IMS supports working with the Iowa Insurance Commissioner or, if necessary, the Iowa General Assembly, to require that all insurers providing health insurance in the...

H-285.027: Managed Care, Filing Unfounded Complaints with State Licensing Board

IMS supports seeking legislative relief to preclude credentialing entities from requiring physician applicants to identify whether unfounded complaints against them ...

H-285.027: Managed Care, Filing Unfounded Complaints with State Licensing Board

IMS supports seeking legislative relief to preclude credentialing entities from requiring physician applicants to identify whether unfounded complaints against them ...

H-285.028: Managed Care, Accept ICC Universal Application Forms

IMS supports advocating all credentialing entities to accept the universal application forms adopted by the Iowa Credentialing Coalition. ...

H-285.028: Managed Care, Accept ICC Universal Application Forms

IMS supports advocating all credentialing entities to accept the universal application forms adopted by the Iowa Credentialing Coalition. ...

PF-285.029: Managed Care, Medicaid Participation

IMS supports seeking legislation that states the free choice of a physician or physician group to limit their participation in the Medicaid ...