Article Abstract:
Delegates to the Interim Meeting of the American Medical Assn (AMA) approved of its efforts to stop physician fraud and misconduct. The AMA voiced concern about working too closely with government regulatory agencies that prosecute physicians. The AMA has unsuccessfully lobbied for legislation to prohibit overcharging for services and other financial fraud. A Board of Trustees report suggested enlisting private organizations in efforts to detect medical fraud on a local level in order to decrease the burden on state medical societies.
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Article Abstract:
A federal appeals court reversed a ruling against the American Medical Association (AMA) and other plaintiffs, sending a case concerning application fees back to the Drug Enforcement Administration (DEA). The AMA sued the DEA in 1993, charging that an increase in health care provider application fees was illegal. In another case, a NY federal judge dismissed a complaint against the AMA and other groups that accused them of anti-trust conspiracy action to prevent chiropractors from joining panels of managed care providers.
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Article Abstract:
A provision was added to Medicare reform legislation pending before the Senate Finance Committee that would allow for direct contacts between the Medicare program and hospital-physician networks. The provision brings the Senate's version of Medicare reform into alignment with the House version which would loosen restrictions on the creation of hospital-physician networks. Direct contracting between the Medicare program and hospital-physician networks also is part of Democratic Party-sponsored reform plans.
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