Aetna Rewrites Doctor Contracts; AMA Not Swayed


Though claiming it never imposed gag rules on physicians, Aetna U.S. Healthcare has moved to rewrite its physician contracts to remove ambiguities that the AMA says effectively constituted "gags."

Aetna has sparred with physicians in several states over contract language, prompting numerous physician groups to leave the HMO. Earlier this year, Aetna and the AMA had a nasty public dispute about provisions in Florida doctors' contracts, which the AMA said included gag clauses and what it called take-it-or-leave-it terms.

But the AMA said the insurer's gag-rule concession does not go far enough. In a statement, the AMA decried contract terms it said allows Aetna to change contracts without notice and the take-it-or-leave-it provisions.

Career Opportunities

HAP, a subsidiary of Henry Ford Health System, is a nonprofit health plan providing coverage to individuals, companies and organizations. This executive develops strategies to meet membership and revenue targets through products, pricing, market segmentation and advertising.  Aligns business among Business Development, Commercial Sales, Medicare and Public Sector Programs and Product Development. Seeks to enhance and be responsible for business development and expansion through the development of an effective product portfolio, strong interpersonal relationships and service excellence.

Apply via email to jfedder1@hfhs.org or online at http://p.rfer.us/HENRYFORDlXqAJA

Subscribe to Our Newsletters

Monthly table of contents

Be notified as each issue of Managed Care is available online.

Biweekly newsletter

Recent topics have included:

PTCommunity news

New drug approvals, clinical trials, drug management. Three times per week.