Established Versus New
Generally speaking, I assume that I cannot refuse new patients with a particular payer if I am going to continue to see established patients within the same plan/insurance. Is that correct?
Question: Generally speaking, I assume that I cannot refuse new patients with a particular payer if I am going to continue to see established patients within the same plan/insurance. Is that correct?
Answer: Generally speaking, yes. Payer contracts usually require you to see both kinds of patients and to provide a modicum of access to their beneficiaries.
Moreover, you want new patients since established ones will go away for various reasons, and new-patient visits pay better.
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Special Report: 60 years of Medicare
August 4th 2025On Medicare's 60th anniversary, President Harry Truman's eldest grandson joins the director of the Truman Library in Independence, Missouri, to reflect on Truman's vision, LBJ's 1965 signing and the program's lasting impact on U.S. health policy.
