Saturday, December 16, 2017

OCMA Blog

Amended OCMA Bylaws

The Bylaws Committee of the Orange County Medical Association has reviewed and updated the organization's bylaws. The revisions have been approved by the Board of Directors and will be approved at the General Membership Meeting in May.   The revised Bylaws can be found by clicking here

Covered California Provider Education News: Know Your Participation Status

Covered California: Know Your Participation Status

In late April 2014, the California Medical Association (CMA) surveyed physicians about their contracting experience with Covered California plans. Eighty percent of respondents reported that they had been confused about their participation status in a Covered California plan and that they believed such confusion had negatively impacted patient care.

Unfortunately, checking your practice's participation status is not as straightforward as it might seem. Plagued with inaccuracies, Covered California took down its cross-plan provider directory earlier this year. Add to that the fact that some exchange plans have used vague contract terms and amendments that rope physicians into participating in their exchange networks, often without their express consent or knowledge, and you'll see that "do you take my insurance" is not always an easy question to answer. 

CMA has developed a toolkit to assist physicians with checking their participation status within Covered California. Click here to download the Know Your Status toolkit.

Meet your Covered CA Provider Educator, Karli Nevarez

Karli is available to provide and distribute multilingual patient education materials for your practice or medical group, as well as appear in person to facilitate a brief presentation or answer questions for your staff. These presentations are for physicians and their staff to gain a better understanding of Covered California and the products offered through the exchange. Karli's services are available to both members and non-members of OCMA.

If you would like Karli to come to your practice or medical group to deliver materials and/or present to your staff, you may contact her at: (310) 818-6998 or knevarez@thecmafoundation.org.  
 
You can also fill out the Covered CA Information Request Form and fax or email the form back to the OCMA. 


Member Resource: Surviving the Third Month of Covered CA

As of February 15, Covered California reports that more than 828,000 individuals have enrolled in exchange plans, which surpasses its original target. With that figure expected to grow by the end of the 2014 open enrollment period, it is critical that physicians and their staff know what to expect.
 

To help answer some of the more common questions, the California Medical Association (CMA) offers this third tip sheet to help physicians survive the third month of Covered California.

Additionally, CMA has just published a document physicians can provide to their patients to address the most common patient questions. The document is available free for members in CMA's exchange resource center at www.cmanet.org/exchange. If you would like patient materials delivered to your office or patient training for your office staff, please fill out a Covered CA Information Request form and fax or email it back to OCMA. 
 
Still have questions?
Visit CMA's exchange resource center at www.cmanet.org/exchange. There you will find all of CMA's exchange resources, including CMA's comprehensive exchange toolkit, "CMA's Got You Covered: A Physician's Guide to Covered California, the state's health benefit exchange." OCMA members and their staff also have FREE access to your Physician Advocate, Mitzi Young for reimbursement assistance and questions about the exchange. Members can contact Mitzi at (888) 236-0267 or myoung@cmanet.org.


Member Materials from OCMA Event: The Exchange - What Physician Practices Need to Know

If you would like to access the presentation from the OCMA seminar that occurred on February 27, 2014 regarding the California health benefit exchange, you may download the presentation below. This is a member-only benefit, so you will need to log-in in order to download the presentation. 

If you do not know your log-in information, please contact Ashley Buchwald, OCMA Marketing/Communications Coordinator at abuchwald@ocma.org or (949) 398-8100 ext. 105

Presentation: The Exchange - What Physician Practices Need to Know


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