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Money, Control, Power: Who's in Your Corner? - On Demand 2025
Behind every authorization and denial lies a power play. In this on-demand session, you will recognize how resource use differs from reimbursement, delineate the levers payors and providers pull to control both, and identify current federal patient protections. With an insider's lens, you'll advocate more effectively and shape access decisions that keep patients in the driver's seat.
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Availability
On-Demand
Expires on May 06, 2028
Credit Offered
0.75 CME Credit
0.75 ABIM-MOC Point
0.75 Participation Credit
  • Overview
  • Faculty
  • Accreditation
  • Recommended
Learning Objectives
After completing this activity, learners should be able to:
  1. Recognize how to delineate the difference between resource use ("utilization") and reimbursement.
  2. Identify key control mechanisms by which Payor and Provider organizations influence utilization and reimbursement.
  3. Recognize the relevant patient protections afforded by 2024 federal healthcare regulations.
  4. Play an active role in advocating for their patients' right to access care and shape their own experience.
Faculty
  • John Updike

Faculty Disclosures
The individuals in control of content for this activity have no relevant relationships with ACCME-defined ineligible companies to disclose unless listed here. Any relevant relationships were mitigated prior to the start of this activity.

 

Accreditation Statement
The Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CME Credit Statement
The Society of Hospital Medicine designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

MOC Credit Statement
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75  MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

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