AMA, Anthem Announce New Agreement to Improve Communication and Collaboration Between Anthem and the Physician Community

This week, the American Medical Association (AMA) and insurer Anthem announced a new agreement to collaborate and share feedback from the physician community. The agreement comes out of recent discussions between Anthem, one of the nation’s largest insurers, and the physician community related to several issues including reimbursement for E/M services with the 25 modifier, anesthesia for cataract surgery, non-urgent emergency room visits, and advanced imaging in hospital outpatient departments. The new agreement is designed to foster dialog and provide the physician perspective in the following areas:

  • Enhancing consumer and patient healthcare literacy;
  • Developing/enhancing and implementing value-based payment models for primary and specialty care physicians;
  • Improving access to timely, actionable data to enhance patient care; and
  • Streaming and/or eliminating low-value prior authorization requirements.

We will keep you updated.