Vital Times 2017 - 26

fair reimbursement rates to physician groups. In one
scenario, an anesthesia group changed its tax ID number
and asked a prominent IPA client to sign the contract
as a simple "housekeeping" measure. The contract itself
had not changed at all - only the tax ID number - but
the payor chose not to sign and cited AB 72 as the reason
why. A reoccurring message to the DHMC was the very
real concern that the payors hold a significant advantage
going forward: they have all the data, and we don't.
Antitrust laws prevent physicians from asking other
groups about their contracted rates. This puts the onus
on the California Department of Insurance (CDI) and
DMHC to hold the insurance companies accountable
and monitor any abuses in the aftermath of AB 72.

For what it is worth, those of us who
have met with regulators feel they
listened to us and now have a better
idea of what we as facility-based
physicians are up against. CSA will
continue to remain engaged on this
issue as it is of vital importance to so
many of our members.

Drs. Jeffrey Poage, Narendra Trivedi, Sunny Jha, and Devangi
Patel visit with Congresswoman Mimi Walters (CA-45)

James Moore, MD, and Paul Yost, MD, with Congressman Raul
Ruiz, MD, (CA-36)

Paul Yost, MD, with Congressman Dana Rohrabacher (CA-48)

26 		|	 	 CSA	Vital	Times



Table of Contents for the Digital Edition of Vital Times 2017

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