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SMRP Physician Insurance Survey 2016

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Exit Survey
 
 
This survey will ask you about your experience working with insurance companies and the process of getting your patients’ procedures, tests, medications or devices pre-certified. To aid in completing this survey, please feel free to ask for assistance of your referral, appeal and pre-certification employees in your office.

A couple of helpful hints for completing this survey:
  • Please try to complete the survey in one session. If you cannot, please click the "Save and Continue Later" button and you will receive an email to complete the survey where you left off.
  • Do not use the back button in your browser. Rather, use the back button in the survey.
  • If an error message appears, please check to make sure you answered all questions in the provided spaces.
To start with the survey now click on the Next button below.
 
 
 
Interaction with Insurance Companies
 
 
Please rate the general relative ease or difficulty of working with insurance companies when it comes to the following:
Very Easy Somewhat Easy Not Sure Somewhat Difficult Very Difficult
* Dealing with imaging centers
* Getting new technology pre-certified
* The peer-review process
 
 
 
* From which insurance companies do you seek pre-certification most often?

(Select up to 6 insurance companies, excluding Medicaid)?
 
Mercy Health Plans
 
Aetna / Coventry
 
Essence
 
Humana
 
Exclusive Choice (SSM)
 
Healthlink
 
Washington University Physician Network
 
United Healthcare
 
Anthem Blue Cross / Blue Shield
 
Cigna
 
I rarely or never need pre-certification for my patients
 
Other - please specify
 

 
 
 
* Have you needed to pre-certify a patient for any of these types of care – within the past 12 months?

(Select all that apply)?
 
Pain management services
 
Diagnostic Radiology tests
 
Cardiology tests and procedures
 
Devices (pacemakers, insulin pumps, etc.)
 
Rehabilitation services
 
Oncology or other specialty medications
 
Surgical procedures
 
Outpatient durable medical equipment
 
Radiology procedures
 
Medications
 
None of these

 
 
 
Evaluation of Insurance Companies
 
 
Please grade each insurance company – from whom you have sought pre-certification – for each type of care using the following scale:

APromptly approves prescribed procedure, test, medication or device
BEventually approves after criteria are reviewed and met
CMay approve after a delay and physician involvement (peer to peer review)
DMay approve after lengthy delay with a high hassle factor (appeals)
FRarely to never approves; could result in patient injury
 
 
CARDIOLOGY TESTS AND PROCEDURES
 
 
DEVICES (PACEMAKERS, INSULIN PUMPS, ETC.)
 
 
DIAGNOSTIC RADIOLOGY TESTS
 
 
MEDICATIONS
 
 
ONCOLOGY OR OTHER SPECIALTY MEDICATIONS
 
 
 
 
 
 
Evaluation of Insurance Companies
 
 
 
Please grade each insurance company – from whom you have sought pre-certification – for each type of care using the following scale:

APromptly approves prescribed procedure, test, medication or device
BEventually approves after criteria are reviewed and met
CMay approve after a delay and physician involvement (peer to peer review)
DMay approve after lengthy delay with a high hassle factor (appeals)
FRarely to never approves; could result in patient injury
 
 
OUTPATIENT DURABLE MEDICAL EQUIPMENT
 
 
PAIN MANAGEMENT SERVICES
 
 
RADIOLOGY PROCEDURES
 
 
REHABILITATION SERVICES
 
 
SURGICAL PROCEDURES
 
 
 
Press "Next" to continue this survey.
 
Please read the following statements that describe how insurance companies may or may not be impacting physicians’ practice of medicine. To what extent do you agree or disagree with these each of statements?
Strongly Agree Agree Not Sure Disagree Strongly Disagree
* My ability to practice medicine appropriately is influenced by insurance company policies on pre-certification
* When health insurance providers merge, my patients’ outcomes are negatively impacted
* I have concerns about the narrowing of insurance networks causing my practice to be dropped from plans
* I have had to alter a patient's treatment plan because of restrictions from an insurance provider
 
 
 
If you have any extra comments that you would like to make about how insurance companies handle pre-certifications, please write in below:
   
 
 
 
Your Medical Practice
 
 
These last few questions are for classification purposes only.
 
 
 
* Which of the following categories describes your medical specialty?

(Select all that apply)
 
Primary care
 
Medical specialty
 
Surgical specialty
 
Any Other (please specify)
 

 
 
 
* At which hospital(s) do you currently practice? 

(Select all that apply)
 
Barnes-Jewish Hospital
 
Barnes-Jewish St. Peters Hospital
 
Barnes-Jewish West County Hospital
 
Cardinal Glennon Children’s Hospital
 
Christian Hospital
 
DePaul Health Center
 
Des Peres Hospital
 
Mercy (St. Louis County)
 
Mercy Jefferson
 
Missouri Baptist Medical Center
 
Saint Clare Heath Center
 
St. Anthony’s Medical Center
 
St. Joseph’s Health Center
 
St. Louis Children’s Hospital
 
St. Louis University Hospital
 
St. Luke's Hospital
 
St. Mary's Health Center
 
Other (please specify)
 

 
 
 
* Is your medical practice...
 
Hospital-based
 
Inpatient and outpatient
 
Outpatient only
 
 
 
* Are you currently...?

(Select all that apply)
 
In an independent private practice
 
Employed by a hospital or health system
 
An academic
 
Other (please specify)
 

 
 
 
* Years
   
 
 
 
* Are you...?
 
Currently a member of the St. Louis Metropolitan Medical Society
 
Formerly a member
 
Never a member
 
Not sure
 
 
 
Email Address