Most plans also have their own physician credentialing process. Also, ask the plan how frequently doctors are re-credentialed. Finally, be sure to ask how many doctors have left the plan in the last year and why. Some plans link provider reimbursement to the quality of care they provide and to patient satisfaction survey results. This can create a strong incentive for doctors to make patient satisfaction and quality care a priority.
Many plans manage patients' chronic health problems through disease management programs.
Also, ask if the plan conducts health risk appraisals of new members to determine their health needs. This site is sponsored by the for more information on the Business Roundtable click here .