120.871 Mandate for Insurance Companies to Assist in the Transition of Patients to Alternative Participating Physicians Upon Contract Termination
The Medical Society of the State of New York (MSSNY) advocate through legislation or regulations that private and public health insurers be mandated on the event of a treating physician terminating participation with that insurer to provide assistance to affected patients in transitioning to other in-network physicians, including providing a list of alternative participating physicians who can continue to provide care to the patient.
Private and public health insurers be mandated to provide resources to ensure continuity of care for patients who are mid-treatment or require ongoing care with the exiting physician without penalties to the physician, including offering extended benefits or out-of-network coverage when necessary.
The online payment policy tool must be uniform interface that works across all insurers and physicians, ensuring consistent and streamlined access to coverage information for physicians and patients and that this resolution be forwarded to the AMA. (HOD 2025-252)
