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Now, in increasing numbers, companies are abandoning H.M.O.'s for preferred provider organizations -- doctor networks that agree to reduced rates for their services.
Their biggest gamble involves the lucrative Medicare Advantage part of the business: doctor networks that are managed by the insurers, in contrast to regular Medicare in which members can choose virtually any doctor, who is paid directly by the government.
CredSimple, a startup building a medical credentialing database, has raised $1.5 million in seed funding to help healthcare and insurance companies manage their doctor networks.
Many Americans open to narrow doctor networks in Obamacare.
Among other flaws to be worked out is that doctor networks offered by insurers may be narrower than required.
What's more, many consumers are likely to continue to vent about the narrow doctor networks and other restrictions they are often forced to accept in exchange for lower rates under Obamacare.
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Of 1,045 junior doctors who responded to a survey by the online junior doctor network, 922 said they would.
Norovirus also seems to be surging abroad; it has reached epidemic levels in France, according to the latest report from the country's doctor network Réseau Sentinelles, with more than one million French people visiting doctors for it in the past five weeks.
The poll, which was conducted via an online junior doctor network, independent of the BMA, asked whether medics were "prepared to consider resignation in the face of imposition of the contract in its current form".
He is said to have tipped off Lerach to a case against AHI Healthcare Systems, a doctor network that went public in September 1995.
Additionally, the project was presented in several quality circle meetings in doctors' networks.
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