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Continuity of Care and Provider Rights

Becker’s Hospital Review

July 2015

Originally published in Becker’s Hospital Review. To read the full article click here

“When a health care service plan (“Plan”) or an Independent Practice Association (“IPA”) terminates its contract with a provider, enrollees have certain continuity of care rights which permit them to continue care and treatment with the terminated provider.1 Providers want to keep seeing the enrollees, enrollees often want to keep seeing the providers, and Plans and IPAs want the exact opposite.”