Providers are beginning to turn the tables on payers by rating them.  For years providers, primarily physicians, have been increasingly subject to review, ratings and in some cases, grading or report cards. The criteria used are usually made up unilateral by payers with little or no input from providers.  Well physicians are fighting back.  They now intend to make sure the insurers feel the glaring light of exposure for their well known tactics of delaying and denying payment.  The insurance game must end for the Real Health Reform to proceed . . . jomaxx

AMA’s ‘report card’ targets health plans’ performance

Claims payments are a sore spot for physicians, who complain about the time and paperwork burdens associated with filing claims under multiple systems with varying sets of rules, especially when those claims are denied and must be contested.  Physicians want to focus on caring for their patients, not fighting health insurance red tape that may delay, deny, or shortchange payments for their services. The goal of the AMA campaign is to hold health insurance companies accountable for making claims processing more cost-effective and transparent, and to educate and empower physicians so they are no longer at the mercy of a chaotic payment system that takes countless hours away from patient care,” said William Dolan, a member of the AMA’s board of trustees

See article at: http://thehill.com/business–lobby/amas-report-card-targets-health-plans-performance-2008-06-16.html