165.965 Repeal of ERISA Exemption for HMO Tort Liability
165.965 Repeal of ERISA Exemption for HMO Tort Liability: SUNSET HOD 2014; see 165.968 and 165.969
165.964 Formation of a Special and/or Public Commission to Monitor Managed Care
165.964 Formation of a Special and/or Public Commission to Monitor Managed Care: SUNSET HOD 2014
165.963 Public Disclosure of Telephone Triage Protocols by MCOs
165.963 Public Disclosure of Telephone Triage Protocols by MCOs: SUNSET HOD 2014
165.962 State Control Over Changes in Health Insurance Coverage and Reimbursement
165.962 State Control Over Changes in Health Insurance Coverage and Reimbursement: MSSNY will seek the enactment of legislation that (a) requires that physicians receive specific notice of the compensation terms proffered by managed care plans, including a detailed statement of the precise terms by which monies will be paid and
165.961 Enforcement of Disclosure Laws Under Managed Care Bill of Rights
165.961 Enforcement of Disclosure Laws Under Managed Care Bill of Rights: That the Medical Society of the State of New York petition the state legislature, Attorney General, and the Governor to (a) strictly enforce the current law and (b) increase the fine to a sufficient level to encourage compliance and
165.960 Capitation
165.960 Capitation: The Medical Society of the State of New York will seek legislation or regulation which (a) defines acceptable financial risk arrangements between physicians and managed care plans to minimize the potential for the reduction or limitation of appropriate access to medically necessary services; and (b) ensures that managed care
165.959 Channeling of Eye Examinations to Optometrists
165.959 Channeling of Eye Examinations to Optometrists: It is the position of MSSNY that third-party payors not be permitted to shift patients from ophthalmologists to optometrists, that third-party payors not designate optometrists as primary eye care providers; and that MSSNY will issue a letter to all third-party payors operating in New
165.958 Crediting Capitated Payment
165.958 Crediting Capitated Payment: SUNSET HOD 2024
165.957 Re-credentialing of Physicians in Merged Managed Care Organizations
165.957 Re-credentialing of Physicians in Merged Managed Care Organizations: The Medical Society of the State of New York will seek to assure, through whatever means appropriate, that when a contract between a managed care organization and credentialed physicians is transferred, merged or consolidated into another organization, the cost associated with
165.956 Disclosure of Conversion Options by Medicare Managed Care Organizations to Prospective Enrollees Previously Covered by Employer-Sponsored Insurance Contracts
165.956 Disclosure of Conversion Options by Medicare Managed Care Organizations to Prospective Enrollees Previously Covered by Employer-Sponsored Insurance Contracts: SUNSET HOD 2014
