More physicians working without managed care contracts
Washington, D.C.-There's no mass exodus, but slightly moreU.S. doctors are practicing without any contracts with managed careorganizations (MCOs). The no-contract cadre accounted for 11.5% ofphysicians in 2005, compared with 9.2% in 2000, according to astudy by the Center for Studying Health System Change (HSC).
WASHINGTON, D.C.-There's no mass exodus, but slightly more U.S. doctors are practicing without any contracts with managed care organizations (MCOs). The no-contract cadre accounted for 11.5% of physicians in 2005, compared with 9.2% in 2000, according to a study by the Center for Studying Health System Change (HSC).
This small, but significant, increase could mean "higher out-of-pocket costs for patients and a decline in patient access to physicians," says HSC President Paul Ginsburg.
Without managed care contracts, independent physicians bill patients directly or require cash payments. The independent physicians tend to be older Westerners in small practices.
Also, an increase in patients in PPOs that reimburse for out-of-network care may be encouraging more physicians to curb direct contracting.
The full report, "No Exodus: Physicians and Managed Care Networks," is at http:// http://www.hschange.org/.
Conversations With Perry and Friends: Paul Fronstin, Ph.D.
May 9th 2025Perry Cohen, Pharm.D., a longtime member of the Managed Healthcare Executive editorial advisory board, is host of the Conversations with Perry and Friends podcast. In this episode, his guest is Paul Fronstin, Ph.D., director of health benefits research at the Employee Benefit Research Institute.
Listen
Conversations With Perry and Friends
April 14th 2025Perry Cohen, Pharm.D., a longtime member of the Managed Healthcare Executive editorial advisory board, is host of the Conversations with Perry and Friends podcast. His guest this episode is John Baackes, the former CEO of L.A. Care Health Plan.
Listen
Headspace Joins Direct-to-Consumer Therapy Space With AI Companion, Ebb
June 17th 2025Headspace has debuted a virtual therapy service called Therapy by Headspace that blends licensed care with AI support and insurance access to improve affordability and reach, according to a news release.
Read More
