The American College of Physicians (ACP) has released a position paper advocating for significant reforms in managed care practices in response to concerns about access to necessary medical care. The ACP highlights issues such as prior authorization processes and narrow clinician networks, which impede patient access and impose heavy administrative burdens on physicians. The recommendations include promoting evidence-based care, better payment for managed care tasks, and the establishment of standardized credentialing processes, addressing the need for improvements in patient care quality within the managed care framework.
1. The ACP advocates reforms to managed care due to mixed patient outcomes. 2. Prior authorization often delays needed care, affecting patient treatment. 3. Limited clinician networks restrict access and continuity of care. 4. Recommendations include better payment for managed care-related tasks. 5. The star rating system for Medicare Advantage is criticized for manipulation. 6. Adequacy standards for networks are necessary to improve patient access. 7. A study revealed high administrative burdens on physicians related to utilization management.
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