re: Concerning the creation of a limited partnership between hospital and physicians to establish a PPO in which the physicians are to be excluded from price negotiations with payers.
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re: Concerning use of a physician-developed RVS by a cost-containment service to determine UCR price screens.
re: Concerning a nursing home association's program to evaluate the quality of care provided by nursing homes.
Letter from M. Elizabeth Gee to Andrew K. Dolan, Esq., dated 07/31/87
re: Concerning a professional association's assistance to third-party payers in determining when foot surgery may be restricted to less expensive outpatient settings.
re: Concerning the formation, marketing, and operation of a partially integrated professional organization, owned by nine ophthalmologists in five separate medical practices, to offer services to HMOs and other groups on a capitation and fee schedule basis.
re: Concerning a proposal by an association of employers with self-funded health plans to negotiate with providers.
re: Concerning the formation and operation of a provider-controlled PPO in which the price agreements are between individual participating physicians and each payer.
re: Concerning the proposal of an insurer to enter into contracts with hospitals for DRG-based payment.
re: Concerning a proposal by a PPO composed of multiple hospitals and physician organizations to negotiate contracts with third-party payers.
re: Concerning a professional society’s peer review of physicians' fees that is mandatory and binding on the physician.
re: Relating to a survey of members' fees.
re: Concerning the development of a standard disclosure protocol for intraocular lens manufacturers who offer inducements to physicians.
re: Concerning a proposal by an insurer to develop a proprietary national network of managed health care systems and to function as a joint purchasing agent for commercial health insurers.
re: Relating to a survey of the range of dentists' fees in local markets.
re: Concerning the development and dissemination of a RVS by an association of physicians.
Expresses view that refusal to serve consumers who provide their own casket violates the funeral rule.
re: Concerning a survey of range of fees and average fees charged by members.
Opines that refusal to accept a funeral because the family has purchased a third-party casket, and refusal to accept delivery of a third-party casket would be funeral rule violations.
re: Concerning a medical society’s advisory fee review program for the voluntary resolution of disputes.
re: Concerning a proposal by a physician-owned IPA/HMO, with most of the local physicians as participants, to close off access to the plan to additional physicians.