Affirmative Statement About Incentives
As a reminder to all associated practitioners, providers, and employees that make UM decisions, the following statement is being distributed as required by our contracted plans: Utilization Management decision making is based only on the appropriateness of care and service. Meritage Medical Network does not specifically award or compensate practitioners or other individuals conducting utilization review for issuing denials of care. Financial incentives for utilization management decision makers do not encourage decisions that result in underutilization. All practitioners are ensured independence and impartiality in making referral decisions that will not influence hiring, compensation, termination, promotion, or any similar matters.