Insurer exits and network splits will change Medicare Advantage coverage for many patients on Jan. 1. Here's how practice leaders can prepare in every state.
|Articles|October 1, 2007
Established Versus New
Generally speaking, I assume that I cannot refuse new patients with a particular payer if I am going to continue to see established patients within the same plan/insurance. Is that correct?
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Question: Generally speaking, I assume that I cannot refuse new patients with a particular payer if I am going to continue to see established patients within the same plan/insurance. Is that correct?
Answer: Generally speaking, yes. Payer contracts usually require you to see both kinds of patients and to provide a modicum of access to their beneficiaries.
Moreover, you want new patients since established ones will go away for various reasons, and new-patient visits pay better.
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