195.040 Patient-Physician Relations Within Medicare Advantage Plans

195.040

Patient-Physician Relations Within Medicare Advantage Plans: The Texas Medical Association supports (1) Medicare Advantage plans allowing a primary care physician (PCP) to remove patients from his or her patient panel if the PCP has proven that he or she has been unable to establish a patient-physician relationship, despite repeated attempts, and (2) the physician's Healthcare Effectiveness Data and Information Set (HEDIS) and other quality scores and ratings not be affected by those patients with whom the physician has been unable to establish a relationship, despite multiple documented attemps (Res. 408-A-19).

Last Updated On

June 20, 2019