It’s time to drop insurance contracts

By Thomas J. Grogan, MD

About 10 years ago, I wrote an article for the AAOS Bulletin outlining how to “manage” managed care. The approach was simple—understand what was happening in the world of contracting and learn to manage the process before it managed us.

To be successful then, surgeons had to embrace the contracting system, even going so far as to undertake capitation contracts and become comfortable with financial risk assumption. Building a practice required marketing to attract contracts and control patient populations through a series of preferred provider arrangements.

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