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    Improve the health of the people of Wisconsin by supporting and strengthening physicians' ability to practice high-quality patient care in a changing environment.
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Policy Compendium

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MAN-010: Disclosure to Physicians

 
Disclosure to Physicians: The Wisconsin Medical Society supports legislation requiring all managed care organizations in Wisconsin to make available to physicians, prior to contract signing:

  • Physician payment information that allows potential contracting physicians to know their expected level of reimbursement.
  • Information on how quality of medical care is determined and monitored by that managed care organization.
  • A complete description of the appeals process for disputes in medical care.
  • A complete description of the appeals process for disputes on reimbursement.
  • Disclosure of the criteria used by the managed care organization for selection and termination of physicians in their network. (HOD, 0412)