AMA's contracting law database now includes federal laws

The National Managed Care Contract's data bank also contains state laws and Association policy and issue briefs.

By Emily Berry — Posted Dec. 20, 2010

Print  |   Email  |   Respond  |   Reprints  |   Like Facebook  |   Share Twitter  |   Tweet Linkedin

The American Medical Association's National Managed Care Contract database now includes information about federal laws that govern contracting, in addition to the state-level guidance that has been available since the database launched in March. The database contains not only relevant state and federal statutes, searchable by keyword, but also AMA briefings on contracting issues and AMA policy related to the searched term.

The new federal law section, added in November, includes searchable statutes and regulations from the Federal Employees Health Benefits Act, the Employee Retirement Income Security Act, the Internal Revenue Code, the Public Health Service Act and the Health Insurance Portability and Accountability Act. Medicaid and Medicare rules also are available.

The tool is meant to be a resource for physicians and office staff who are negotiating contracts with health plans, considering setting up practice in a new state, or looking to ensure that contracts comply with state and federal laws.

The national contract database allows users to compare managed care contracting laws in as many as six states at a time.

The issue briefs in the database include guides to managed care contracting clauses that physicians should beware of, how to deal with medical necessity denials and appeals, how to determine preauthorization requirements and verify eligibility, and how to spot or avoid being part of a rental network.

The contract database is available to any AMA member.

Back to top

External links

American Medical Association National Managed Care Contract (link)

Back to top



Read story

Confronting bias against obese patients

Medical educators are starting to raise awareness about how weight-related stigma can impair patient-physician communication and the treatment of obesity. Read story

Read story


American Medical News is ceasing publication after 55 years of serving physicians by keeping them informed of their rapidly changing profession. Read story

Read story

Policing medical practice employees after work

Doctors can try to regulate staff actions outside the office, but they must watch what they try to stamp out and how they do it. Read story

Read story

Diabetes prevention: Set on a course for lifestyle change

The YMCA's evidence-based program is helping prediabetic patients eat right, get active and lose weight. Read story

Read story

Medicaid's muddled preventive care picture

The health system reform law promises no-cost coverage of a lengthy list of screenings and other prevention services, but some beneficiaries still might miss out. Read story

Read story

How to get tax breaks for your medical practice

Federal, state and local governments offer doctors incentives because practices are recognized as economic engines. But physicians must know how and where to find them. Read story

Read story

Advance pay ACOs: A down payment on Medicare's future

Accountable care organizations that pay doctors up-front bring practice improvements, but it's unclear yet if program actuaries will see a return on investment. Read story

Read story

Physician liability: Your team, your legal risk

When health care team members drop the ball, it's often doctors who end up in court. How can physicians improve such care and avoid risks? Read story

  • Stay informed
  • Twitter
  • Facebook
  • RSS
  • LinkedIn