NEWS & EVENTS

August 2017 – PCN begins offering Magellan Complete Care Medicaid HMO

February 2017 – PCN begins offering Molina Health Care of Florida Medicaid HMO

November 2016 - PCN begins offering the Ambetter Individual Exchange Plan

October 2016 - CMS Finalizes the new Medicare Quality Payment Program

April 2016 - CMS Unveils New Risk-Based Primary Care Model: 13 Things to Know

http://www.beckershospitalreview.com/finance/cms-unveils- new-risk- based-primary- care-model- 13-

things-to- know.html

October 2015 – Sunshine State Health Plan begins Healthy Kids enrollment in Region 3

January 2015 – Sunshine State Health Plan begins enrollment for Medicare in Marion and Lake Counties

January 2014 - Preferred Care Partners and Humana Medicare HMO plans are discontinued in Marion, Lake, and Sumter Counties.

May 2014 - Medicaid/Medipass mandatory assignments to Medicaid HMOs for Region 3 begins

Free Pediatric Psychiatric Consultations Available

The University of Florida Child Psychiatry Access Program allows for the FREE consultation with a psychiatrist for PCN providers with questions. Please contact 877-506-2720 if you need a consult for a pediatric patient with a psychiatric disorder.
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Exclusive Professional Liability Insurance Program

(Gainesville, Fla) - For some time now Physicians' Care Network (PCN) has been exploring avenues to help lower the cost of medical liability insurance for your practice. This is typically one of the largest expenses in a medical practice. With reimbursements going down and expenses going up, we are doing everything we can to help our members. The goals of this program are to:

  • To Lower long-term costs
  • To Make future costs more predictable
  • To Work together to improve quality and patient safety
  • To Bring PCN members together as a more cohesive group.

Our intent is to build a community-based program that will last through the next malpractice insurance crisis and shield our physician members from huge upward rate swings. To have our program survive (and thrive) for the long haul, we must outperform the population of Florida physicians from a loss perspective. We can achieve this by building elements into the program such as quality standards, risk management initiatives, and patient safety initiatives.

For this program, your physician-only Board of Directors has selected First Professionals Insurance Company ("FPIC" or "First Professionals"). FPIC is the market leader in Florida for medical professional liability insurance. FPIC has been awarded a rating of A- (excellent) by A.M. Best Company, the independent company that rates financial strength.

PCN has negotiated an exclusive professional liability insurance program with FPIC that provides a 25% discount on base rates for our members. In addition to the PCN program discount. you may also gualify for FPIC's claims-free discount. which may be as much as an additional 25% discount.

  • 5 years claims free - 10% discount
  • 10 years claims free - 20% discount
  • 15 years claims free - 25% discount

As is standard in the industry, FPIC will look to pick up prior acts coverage. Also, if retirement is a possibility within the next five years, please know that FPIC will work through any vested retirement "tail" issues.

PCN has also negotiated for FPIC to offer risk management and patient safety training sessions at no cost to PCN members who become policyholders. These sessions will include topics such as Medical Specialty Analysis, Practice Assessment, Claim Analysis, Risk Management Products and Services, Root Cause Analysis, Loss Prevention Plan, and Compliance Plans.

We expect that most medical practices will realize initial premium savings at the kickoff of this program. However, the long-term cost savings of this program are expected to be far more beneficial. Therefore, the most important thing we can do is to get this program started. We are targeting a kickoff date of December 1st. We anticipate that insurance companies and insurance agents who stand to lose business will attempt to minimize participation in this program, even offering to slash costs. The future benefits of this program offer the most value, and for this reason, it is important that we act together as a cohesive group to launch this program and resist those who seek to keep physicians fragmented by offering short-term benefits.

We are very excited about this new medical professional liability insurance program and the potential for PCN members to save money now and in the future. For information on how to participate in this new program, please phone the PCN office at 352.371.9999.
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Congratulations to PCN’s Executive Officer Dr. Robert Ashley for receiving the distinguished honor of Family Physician of the Year from the Florida Academy of Family Physicians

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Click here for full article

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Provider Demographic Changes

 Any demographic changes made for a provider, including additional locations, new locations, contact information, point of contact, etc., need to be submitted to the PCN Administrative Office immediately along with the effective date of change(s). We will forward the information to PCN-contracted health plans for you.  Also, if you want to terminate a PCN-contracted health plan, please contact the PCN Administrative Office.

 

 

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What we do...

PCN negotiates fair and competitive contracts with MCOs and health plans. By executing one contract with PCN and maintaining one credentials file, a PCN physician gains access to multiple contracts.

Contact

Physicians' Care Network
5024 NW 27th Court, Suite A
Gainesville, FL 32606
PH: (352) 371-9999
FX: (352) 371-1812

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