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CapitationFrom: Pam Palmer (wapp88@gateway.net)Sun May 14 20:53:41 2000
It has been my experience over the past several years dealing with a capitated carrier. Now, the carrier has decided to change the contract and now make this a fee for service contract. I know this should be good news, but we do not have the fee schedule yet, and I've been told its equal to medicare rates. The contract reads that once sign, they can alter the contract and not have approval. Also, the change effects the current patients that have been seen. We no longer are paid for the patients we've seen in the last 3 months. It will mean a loss of thousands of dollars. The carrier stated since we are up for renewal we have no choice but to sign or get out. We can't afford to get out but is there a way to fight the contract or the losses. The fact is this is 30% or more of our patient load. Do you have any advice or suggestion. My e-mail address is wapp88@gateway.net. Thank you!
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