165.983              Redefining the Roles, Obligations and Responsibilities of Insurance Companies which Utilize Capitation as a Means of Physician Reimbursement

165.983              Redefining the Roles, Obligations and Responsibilities of Insurance Companies which Utilize Capitation as a Means of Physician Reimbursement:

MSSNY will seek legislation requiring managed care organizations to assume appropriate risk while at the same time:

(a) providing an adequate proportion of premium dollars dedicated to medical care;

(b) providing for equitable physician reimbursements;

(c) reducing excessive MCO profit margins. (Council 12/19/96; Reaffirmed HOD 2014; Reaffirmed HOD 2024)