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Managed Care & Insurance

Evaluating a Plan/Making a Business Decision



Each optometrist has to decide whether to join any given insurance or vision plan. The decision must be made with all the information available to you about both the plan and your own financials. The AOA has created several tools to assist your decision-making process.

General Considerations to Contracting with a Managed Care Plan

Deciding whether or not to join a particular plan can be a difficult and time consuming task. For many, managed care plans have become a “can’t live with them; can’t live without them” proposition.

There is no way to ignore managed care, but it doesn’t have to take the practice down. These questions can help the doctor get through the invitations and determine the plans that may be best for the practice.

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Chair Cost Calculator

CalculatorChair Cost Calculator is designed to help you determine how much your "average" patient visit costs and how you can use that to evaluate how insurance plans fit into your financial picture.

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RVS Update Process

Medicare uses a standardized physician payment schedule based on a resource-based relative value scale (RBRVS). In the RBRVS system, payments for services are determined by the resource costs needed to provide them. The cost of providing each service is divided into three components: physician work, practice expense and professional liability insurance.

This article details how this system is structured and maintained.

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