INSURANCE - PATIENT/PHYSICIAN PROTECTIONS
(READOPTED 12-55, HOD; RESOLUTION 02-39) RESOLVED, that the ISMA pursue all avenues to achieve Anthem's fair play in the marketplace, which may include, at the appropriate time, a lawsuit against Anthem on behalf of our patients and the 8,000 ISMA member physicians in the state of Indiana. (RESOLUTION 10-53; AMENDED EXISTING POLICY 00-52) RESOLVED, that the ISMA support the use of the standardized health identification card as developed by the Workgroup for Electronic Data Interchange (WEDI). (READOPTED 09-37, HOD; READOPTED 99, HOD; RESOLUTION 88-28) RESOLVED, that it is the duty of any provider of medical insurance in the state of Indiana to fully inform in clear language prospective purchasers of insurance limitations, which may affect the quality or quantity of medical services provided under the plan. Examples of such features are: Contracts or agreements between the insurers and physicians, hospitals, pharmacies or other providers of services which limit or affect care provided to the patient either directly or indirectly by limiting reimbursement in any fashion Financial incentives, withholds, "gatekeeper" arrangements or other arrangements that may affect the medical decision-making process Agreements that limit free referral of patients by the patient's physician to any other physician or hospital (RESOLUTION 09-14) RESOLVED, that the ISMA seek legislation at the state level requiring health insurers to end the practice of rescission; and be it further, RESOLVED, that the ISMA Delegation to the AMA introduce a resolution at the AMA 2010 House of Delegates meeting requiring health insurers to end the practice of rescission. (RESOLUTION 09-10) RESOLVED, that the ISMA seek legislation in the 2010 Indiana legislative session requiring the Indiana Department of Insurance to receive all physician and other provider complaints against health insurance companies, regardless of the dollar amount, through electronic means.