Practice Evolution
Through the Practice Evolution education series, the Colorado Medical Society strives to help physicians better understand the interconnection of major issues in health care and better thrive in delivery system models. The four Practice Evolution categories are payment reform, practice redesign, transparency and administrative simplification.
National Physician Payment Transparency Program: Open Payments
External link will open in a new window.The National Physician Payment Transparency Program (OPEN PAYMENTS) creates greater transparency around the financial relationships of manufacturers, physicians, and teaching hospitals. It requires certain information be reported to the Centers for Medicare and Medicaid Services.
Next Generation Physician Payment and Delivery Models: AMA webpage
External link will open in a new window.Nurse Practitioner: Board of Nursing webpage
External link will open in a new window.OIG Compliance Program Guidance
Right click, "Save as.." to download file.Patient-Centered Medical Home: AAFP webpage
External link will open in a new window.Patient-Centered Medical Home: ACP webpage
External link will open in a new window.Patient-Centered Medical Home: TRICARE webpage
External link will open in a new window.Physician Designation Programs: Colorado profiling law compliance worksheet
Right click, "Save as.." to download file.Physician Designation Programs: How to challenge your profile or designation
Right click, "Save as.." to download file.Physician practice treatment plan
Right click, "Save as.." to download file.Practice Evolution Reality Check (PERC)
External link will open in a new window.Practice Evolution Timeline - graph
Right click, "Save as.." to download file.Prescription for a healthier practice: Automate prior authorization
External link will open in a new window.Take advantage of automated solutions for prior authorization to reduce the time your practice spends on these processes. Visit the AMA’s payer policies webpage for links to many of the major payers’ prior authorization automated solutions.
Prescription for a healthier practice: Contract with confidence
External link will open in a new window.The AMA's managed care contracting webinar series will help you understand new provisions that managed care organizations are adding to physician contracts as those organizations implement new physician payment models. The series will empower your practice to conduct business in a way that preserves your rights and maximizes your ability to reach your short- and long-term goals.
Prescription for a healthier practice: Empower your practice with the National Managed Care Contract
External link will open in a new window.Take advantage of this comprehensive managed care contracting resource, which is based on the most physician-favorable managed care laws and regulations from all 50 states and the District of Columbia. This advocacy resource and its accompanying supplements address many of the issues that arise in the managed care contracting process and in the subsequent business relationship between physicians and managed care organizations. Developed by the AMA and state medical association attorneys with expertise in managed care contracting issues and regulations, the National Managed Care Contract includes more than 70 pages of model provisions based on state law and is supported by hundreds of legal citations.