News Headlines Article

AMA offers code of conduct for insurers
Modern Healthcare

Noting that “the health insurance industry has a crisis of credibility,” the American Medical Association has released a set of 10 Health Insurer Code of Conduct Principles that it said will “bring transparency and accountability to the multibillion-dollar health insurance industry.” The principles include subjecting a decision to cancel a person’s coverage to independent, outside review; spending the “substantial bulk” of a premium dollar on direct medical care; and requiring that only a physician can make a decision to deny care on the grounds it is not “medically necessary.”