Before contacting the managed care plan representative, identify the factors that prompted you to agree to the terms of the contract. Your contract should be examined carefully to determine your position with the plan. Break-ups should be clearly stated by indicating whether cause is needed to abolish the agreement. Be sure to share your dissatisfaction initially with qualified legal advisers to prevent gag clause violations. Evaluate your patient base and check the duration of your contract. Despite your managed care dilemma, consider your camaraderie with pediatric medical subspecialists and pediatric surgical specialists on the plan.

An administrative uproar has emerged due to the managed care payment arrangement transition. From fee-for-service payments to capitation-based payments, some physicians have ignored word usage in the lengthy managed care contracts and signed their autonomy away. The 1996 AAP Periodic Survey of Fellows #33 reported that about half of pediatricians are unfamiliar with how their...

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