GAFP President-Elect, Jeff Stone, MD pictured with Commissioner of Insurance Jim Beck
GAFP President-Elect – Jeff Stone, MD recently represented the Academy at a health industry stakeholder meeting convened by newly elected Commissioner of Insurance Jim Beck. Over 50 representatives attended at the DOI headquarters which included the medical community and the largest health insurance companies in the State.
Commissioner Beck stated that his intention was to bring all the players together to see if there could be mutual communication to cut current administrative burdens on clinicians and hospitals. The following areas were specifically discussed:
- Prompt Pay Compliance and Appeals
- Prior Authorization Practices
- Appeal Rejections
- Prompt Pay Abuse
- Accounts to Serve
- Location of Service
- Differences Between Certification and Pre-Pay
- Speed of Physician Credentialing
- Delays in Loading
- Directory Updates/Inaccurate Information in Provider Directory
- Excessive Medical Record Requests
- Pharmacy Clawbacks
- Fraud Issues
Dr. Stone led one of the focus groups and staff from the Department took feedback on these topics. Our intent is to continue to work with the Commissioner and his team and encourage him to vigorously tackle these issues that frustrate us as family physicians, and many times delay or deny care to our patients.