Harvard Pilgrim guides and empowers healthier lives by combining high-quality health plans and care programs with compassionate customer service. Individual & family plans Trusted for over 50 years, we take pride in offering comprehensive health plans designed to help keep you and your family healthy. To allow Harvard Pilgrim representatives to speak to a parent about the health coverage and care of their dependent (under age 18) when parent is not listed on that minor’s policy, a Statement of Parental Rights form (pdf) will need to be completed. Harvard Pilgrim Personal Representative Cover Form.Harvard Pilgrim guides and empowers healthier lives by combining high-quality health plans and care programs with compassionate customer service. Individual & family plans Trusted for over 50 years, we take pride in offering comprehensive health plans designed to help keep you and your family healthy.Durable Medical Equipment (DME) Policy. Harvard Pilgrim reimburses contracted and approved providers for durable medical equipment ordered by a Harvard. Pilgrim provider when medically necessary for the treatment of illness or injury or to improve the functioning of a body. part, for use in the member’s home, within the applicable benefit.For more information about your coverage, or to get a copy of the complete terms of coverage, www.harvardpilgrim.org/LGsampleEOC. For general definitions of ...Pre-enrollment phone line. Our pre-enrollment call center dedicated team will help answer your questions about your new benefits and connect you with a nurse care manager when you or your dependents have complex medical conditions —providing needed support even before your new plan is active. Contact us at [email protected] or ...Harvard Pilgrim Health Care, Canton, Massachusetts. 25,041 likes · 29 talking about this · 1 was here. Harvard Pilgrim Health Care, a Point32Health company, has been guiding individuals and...Harvard University is renowned for its prestigious education and has long been considered a symbol of excellence. In recent years, the university has taken a step towards democrati...Your employer will need to sign this form and will forward this application to Harvard Pilgrim Health Care for processing. If you need additional assistance ...In response to this shift, Alma has established a direct group partnership with Harvard Pilgrim Health Care and officially joined their network on November 1, ...HOW IT WORKS: The Harvard Pilgrim POS (point-of-service) Plan gives you flexible choices for your health care needs. q If you live within the plan’s service area*, you’ll choose a primary care provider (PCP) to deliver or arrange for your medical care. q Your plan has in-network coverage and out-of-network coverage, which gives you flexibilityPrior authorization needed. Under most Harvard Pilgrim plans, prior authorization is required for the following. For members enrolled in Harvard Pilgrim’s HMO products, prior authorization is required for any elective referral to a non-contracted provider. See the criteria used to review prior authorization requests. Back pain management.Harvard Pilgrim is excited to offer our new wellness reimbursement program, which expands on the existing fitness reimbursement. Now, you and dependents on your health plan can be reimbursed for qualifying fitness, select nutrition and mindfulness program fees up to $150 per individual plan and up to $300 per family plan.Prescription drug plans. Harvard Pilgrim works with Optum Rx to manage our pharmacy benefits. The type of drug plan you have (either Premium, Value or Core NH) will be shown on your ID card. The dollar or percentage amounts next to “Rx” on your card will tell you how many tiers your plan has. If your card does not show a specific drug plan ...COVID-19 coverage updates. Member Cost-Sharing: If you are enrolled in a high-deductible health plan, the Internal Revenue Service requires COVID-19 testing and treatment to apply to the deductible starting with your plan’s 2024 coverage anniversary date. If your coverage anniversary date was January 1, 2024, this requirement will take effect ...Point32Health Dental and Point32Health Vision are the newest offerings within our portfolio of health and well-being solutions. They’re available for groups with 51+ employees, and plans are effective July 1, 2024. Contact your account manager or broker about adding dental and vision coverage to your medical plan today. Harvard Pilgrim ...COVID-19 coverage updates. Member Cost-Sharing: If you are enrolled in a high-deductible health plan, the Internal Revenue Service requires COVID-19 testing and treatment to apply to the deductible starting with your plan’s 2024 coverage anniversary date. If your coverage anniversary date was January 1, 2024, this requirement will take effect ...Are you looking to expand your knowledge, enhance your skillset, or simply learn something new? Look no further than Harvard’s free online courses. One of the greatest advantages o...Dec 14, 2563 BE ... U.S. and State of New Hampshire v. Harvard Pilgrim Health Care, Inc. and Health Plan Holdings, Inc. · Exhibit A - [Proposed] Final Judgment ( ...That’s why Harvard Pilgrim offers some exceptional tools that help you estimate and manage your health care costs before you receive services, as well as find care at lower-cost, higher-quality facilities while earning some great rewards. Manage costs before receiving services with Estimate My Cost. Find lower-cost care with Reduce My Costs. Harvard Pilgrim guides and empowers healthier lives by combining high-quality health plans and care programs with compassionate customer service. Individual & family plans Trusted for over 50 years, we take pride in offering comprehensive health plans designed to help keep you and your family healthy. Harvard Pilgrim member. Make the call and get rewarded. Connect with a nurse at (855) 772-8366 or use our live chat. Monday through Friday from 8am to 6pm ET. (855) 772-8366. 1. Ranges are based on Harvard Pilgrim’s data, actual service prices vary by …Forgot guest username. Forgot guest password. Questions about creating an account or accessing the online wellness program? Email [email protected] or call (877) 594-7183, Monday-Friday, 9am-5pm EST.Oct 1, 2019 · Harvard Pilgrim is an HMO/HMO-POS plan with a Medicare contract. Enrollment in Stride SM (HMO) depends on contract renewal. Y0098_20060 Last Update: 10/01/2019 Harvard Pilgrim is an HMO/HMO-POS plan with a Medicare contract. Enrollment in Stride SM (HMO) depends on contract renewal. Y0098_20060 Last Update: 10/01/2019. Point32Health is the parent organization of Harvard Pilgrim Health Care and Tufts Health Plan. You can search for providers without logging in. You will need to select a plan name to search for participating providers. Select a plan. If you can't locate your provider or are unsure of their availability, please call Member Services at the number on your ID card. Harvard Pilgrim guides and empowers healthier lives by combining high-quality health plans and care programs with compassionate customer service. Individual & family plans Trusted for over 50 years, we take pride in offering comprehensive health plans designed to help keep you and your family healthy.Wellesley, Mass. (March 31, 2020) – Harvard Pilgrim Health Care today announced it is waiving member cost-sharing related to treatment for COVID-19. The waiver applies to medical costs associated with COVID-19 treatment at in-network facilities and out-of-network emergencies. The new policy applies to all Harvard Pilgrim commercially …Harvard Pilgrim is excited to offer our new wellness reimbursement program, which expands on the existing fitness reimbursement. Now, you and dependents on your health plan can be reimbursed for qualifying fitness, select nutrition and mindfulness program fees up to $150 per individual plan and up to $300 per family plan.You can purchase coverage directly from Harvard Pilgrim. Visit us at www.harvardpilgrim.org. Here’s how to enroll. www.harvardpilgrim.org. How to find a health care provider. How to renew your plan. If you are a current Harvard Pilgrim member, you will receive a renewal package in late October. If you are happy with the …Learn what working and interviewing at Harvard Pilgrim Health Care is really like. Read real reviews, ask and answer questions.Forgot guest username. Forgot guest password. Questions about creating an account or accessing the online wellness program? Email [email protected] or call (877) 594-7183, Monday-Friday, 9am-5pm EST.Prescription drug plans. Harvard Pilgrim works with Optum Rx to manage our pharmacy benefits. The type of drug plan you have (either Premium, Value or Core NH) will be shown on your ID card. The dollar or percentage amounts next to “Rx” on your card will tell you how many tiers your plan has. If your card does not show a specific drug plan ...Welcome to Harvard Pilgrim At Harvard Pilgrim Health Plan, we are committed to providing GIC members access to high-quality health care coverage and services to help you stay healthy. Our Medicare Enhance health plan offers preventive care, behavioral health services, wellness programs, and many other great perks.One way is to set aside time devoted to practicing, either by sitting and attending to your breath, or doing a body scan, moving attention through various parts of the body. These guided audio meditations are intended to support you in your practice. Watch the introductory video, then stream or download the mp3 guided audio meditations.Harvard Pilgrim is a local, not-for-profit health services company invested in the communities we serve through the Harvard Pilgrim Health Care Foundation’s giving and service programs, as well as a broad range of local sponsorships. In 2019, the Harvard Pilgrim Foundation awarded nearly $2.9 million in grants to 990 nonprofit organizations ...Learn about Medicare and compare plans from Harvard Pilgrim Health Care, a nonprofit health plan in New England. Find out how to enroll, get answers and request information online or by phone.While some health plans may auto-assign PCPs to members, know that you can always select a different PCP, one that best aligns with you and your family’s health care needs. 2. Find in-network PCPs. The last thing you want to do is find a great provider, only to learn that they’re out of network. Harvard Pilgrim’s Find a Provider tool ...As a leading not-for-profit health services organization, we are comprised of a family of companies including: Harvard Pilgrim Health Care, providing health benefit plans, programs, and services to more than 1.1 million members in Massachusetts, New Hampshire, Maine, Connecticut, and beyond.A leading not-for-profit health services …With Flex plans, you can pay lower out-of-pocket costs when you get laboratory services or outpatient surgery from Flex providers. The deductible, which most Flex plans include, will not apply; you'll have no charge for lab tests (except for genetic testing) and pay a copayment (typically lower than a deductible) for outpatient surgery.In response to this shift, Alma has established a direct group partnership with Harvard Pilgrim Health Care and officially joined their network on November 1, ...Durable Medical Equipment (DME) Policy. Harvard Pilgrim reimburses contracted and approved providers for durable medical equipment ordered by a Harvard. Pilgrim provider when medically necessary for the treatment of illness or injury or to improve the functioning of a body. part, for use in the member’s home, within the applicable benefit.Harvard Pilgrim is here for you every step of the way with our Celebrating 65® program! We’ll help you take a proactive approach to retirement and plan for a healthy future. Learn about Celebrating 65. Point32Health is the parent organization of Harvard Pilgrim Health Care and Tufts Health Plan.This quick video gives an overview for providers who are in our Harvard Pilgrim’s national network through UnitedHealthcare or out-of-network. With the Point32Health Provider site, we aim to make it easy for you to work with us to support our members’ health and wellbeing — including providing you and your office staff with updated ...Harvard Pilgrim guides and empowers healthier lives by combining high-quality health plans and care programs with compassionate customer service. Individual & family plans Trusted for over 50 years, we take pride in offering comprehensive health plans designed to help keep you and your family healthy. How Flex plans help you save money. With Flex plans, you can pay lower out-of-pocket costs when you get laboratory services or outpatient surgery from Flex providers. The deductible, which most Flex plans include, will not apply; you'll have no charge for lab tests (except for genetic testing) and pay a copayment (typically lower than a ... HOW IT WORKS: The Harvard Pilgrim POS (point-of-service) Plan gives you flexible choices for your health care needs. q If you live within the plan’s service area*, you’ll choose a primary care provider (PCP) to deliver or arrange for your medical care. q Your plan has in-network coverage and out-of-network coverage, which gives you flexibilityHarvard Pilgrim Health Care complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex (including pregnancy, sexual orientation, and gender identity). ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.Harvard Pilgrim is an HMO/HMO-POS plan with a Medicare contract. Enrollment in Stride SM (HMO) depends on contract renewal. Harvard Pilgrim’s Medicare Supplement Plan coverage is underwritten by HPHC Insurance Company, an affiliate of Harvard Pilgrim Health Care.Prescription drug plans. Harvard Pilgrim works with Optum Rx to manage our pharmacy benefits. The type of drug plan you have (either Premium, Value or Core NH) will be shown on your ID card. The dollar or percentage amounts next to “Rx” on your card will tell you how many tiers your plan has. If your card does not show a specific drug plan ...Provider coverage includes Harvard Pilgrim’s network in Massachusetts, New Hampshire, Maine, and Rhode Island, and our national network partner, UnitedHealthcare for the remaining states. In addition to the Harvard Pilgrim and UnitedHealthcare networks, members may see an out-of-network provider at a higher cost. 888-888-4742, x 31035. E-Services/EDI-Direct: 800-708-4414 (Option 1; then 3) E-Services/HPHConnect Service Center: 800-708-4414 (Option 1; then 6) Email: [email protected]. Find all the prior authorization materials that you may need to reference or utilize to provide care for our commercial members. Harvard Pilgrim offers guidance, information, and resources to help ensure you receive timely, accurate reimbursement for the services you provide to our members. On this page you’ll find reference materials to guide you and your office staff in coding accurately for services you administer, understanding Harvard Pilgrim payment policies and …An independent, not-for-profit organization, Harvard Pilgrim offers a wide variety of health insurance options for companies, families and individuals. Our ...See Accreditation status and health plan rating for Oscar Insurance Company of Florida on NCQA Report Cards.Harvard Pilgrim offers individual, family and Medicare health plans with access to top-quality doctors and hospitals. Learn about their plans, benefits, wellness programs, …Jan 1, 2024 · Harvard Pilgrim is excited to offer our new wellness reimbursement program, which expands on the existing fitness reimbursement. Now, you and dependents on your health plan can be reimbursed for qualifying fitness, select nutrition and mindfulness program fees up to $150 per individual plan and up to $300 per family plan. Harvard Pilgrim members can access a comprehensive network of medical and behavioral health care providers, along with innovative programs and services, to improve physical and mental well-being in whether in-person or virtual settings. 1 . Behavioral Health Service Navigation Program. Harvard Pilgrim believes it is important for our members to understand all aspects of their health care and coverage. The following explains the principles and methods that determine how Harvard Pilgrim pays physicians. Since, in many cases, the way doctors are paid is determined by the groups with which they practice as well as other factors ... Dec 5, 2022 · Register for the Stride℠ (HMO) member portal to get the most out of your plan. Check out ways to save while supplementing your benefits with things like discounts on eyewear, health and wellness programs, and more. Links on this page may take you away from the Harvard Pilgrim Health Care website. H6750_22139 Last Update: 12/5/2022. Health care isn’t one-size-fits-all. At Harvard Pilgrim, we offer many ways for you to get the care you need when it’s convenient for you. This quick guide helps you select the right care for your specific needs, day or night, virtually or in-person. 1. According to the New England Health Institute, 56% of all visits to the emergency room ...Point32Health, the parent company of Harvard Pilgrim Health Care and Tufts Health Plan, today announced that Emily Oken, MD, MPH, has been appointed the new president of the Harvard Pilgrim Health ...Children coverd on Harvard Pilgrim plans can get a flu shot at no charge at: Their pediatrician's office; City/town flu clinics in schools or public clinics for children and adults; Always call ahead to confirm schedules and availability, and make sure the provider or clinic accepts Harvard Pilgrim insurance and will submit a claim.Aug 31, 2020 · There are several options to get detailed information about Harvard Pilgrim’s Advantage plans, including calling the Harvard Pilgrim client care number at 1-866-843-3186 (TTY: 711), available ... Harvard Pilgrim guides and empowers healthier lives by combining high-quality health plans and care programs with compassionate customer service. Individual & family plans Trusted for over 50 years, we take pride in offering comprehensive health plans designed to help keep you and your family healthy.Harvard Pilgrim Medicare Supplement Monthly Premium Rates Effective January 1, 2023 – December 31, 2023. Note: Medicare Supplement benefit Plan F will not be offered to individuals newly eligible for Medicare on or after January 1, 2020. Issue Age: Plan A: Plan F: Plan G: Plan M: Plan N: Less 65: $376.00: $564.00: $413.00: $410.00:Select a Plan. Select your health plan from the list below. Check the upper right-hand corner of your ID card to help determine what type of plan you are enrolled in. If you need help finding a provider, contact us. Already a member? Harvard Pilgrim guides and empowers healthier lives by combining high-quality health plans and care programs with compassionate customer service. Individual & family plans Trusted for over 50 years, we take pride in offering comprehensive health plans designed to help keep you and your family healthy. Items can be selected from the 2023 Over-the-Counter Brochure and by calling 1-888-609-0692 TTY: 711 to place the order. If you have any questions, please contact Medicare Broker support: Email: [email protected]. Call: 1-833-984-2387.Forgot guest username. Forgot guest password. Questions about creating an account or accessing the online wellness program? Email [email protected] or call (877) 594-7183, Monday-Friday, 9am-5pm EST. Medicare Advantage Stride SM (HMO) Harvard Pilgrim’s Medicare Advantage Plan offers benefits beyond what Original Medicare covers. Our plans in NH include both health and drug coverage. 2024 info for current members. Looking for coverage? Please note that Harvard Pilgrim is not responsible for the availability, privacy or security of the Zoom platform. We recommend that you use caution when sharing any personal or identifying information with online meeting applications, including any interactive features. If you are a current Harvard Pilgrim individual market member and call 866-890-6470. We will be happy to assist. ... Harvard University is renowned for its prestigious education and has long been considered a symbol of excellence. In recent years, the university has taken a step towards democrati... Harvard Pilgrim members can access a comprehensive network of medical and behavioral health care providers, along with innovative programs and services, to improve physical and mental well-being in whether in-person or virtual settings. 1 . Behavioral Health Service Navigation Program 800-637-4751, then option 1. Email the Broker Employer Service Team. Small Group Implementation and Quoting. For small group installs, quoting and renewal. Mon. – Fri. 8:30 a.m. - 5 p.m. 800-637-4751, then option 2. New Business Sales Inquiries. For large groups (50+) Contact your Sales Executive or call 800-637-4751, then option 2.CANTON, Mass. (June 16, 2021) —Tufts Health Plan and Harvard Pilgrim Health Care today announced its combined organization will be known as Point32Health. Bringing together more than 90 years of service to 2.2 million members across New England, Point32Health helps individuals find their version of healthier living through a broad …One way is to set aside time devoted to practicing, either by sitting and attending to your breath, or doing a body scan, moving attention through various parts of the body. These guided audio meditations are intended to support you in your practice. Watch the introductory video, then stream or download the mp3 guided audio meditations.Questions about Harvard Pilgrim’s prior authorization process? Call Member Services at (888) 888-4742 (TTY: 711). Initial inquiries are referred to Member Services for review and response where appropriate. Routine inquiries regarding specific cases are triaged by Member Services and referred to appropriate Utilization Management (UM) staff.Harvard Pilgrim offers individual, family and Medicare health plans with access to top-quality doctors and hospitals. Learn about their plans, benefits, wellness programs, …Harvard Pilgrim Health Care, Inc. c/o Stride Claims Processing P.O. Box 211067 Eagan, MN 55121. Claims appeals: Fax#: 617-509-4225 Or mail to: Medicare Advantage Provider Appeals P.O. Box 690546 Quincy, MA 02269. A Point32Health company. Point32Health is the parent organization of Harvard Pilgrim Health Care and Tufts Health Plan.1 Harvard Pilgrim’s Living Well Everyday program is available to members and non-members. 2 All rewards are fully funded by Harvard Pilgrim. Members and non-members can earn rewards towards gift cards. The amount you earn is subject to your benefit plan. Check with your HR representative for more information.Change Healthcare interacts with Point32Health and its family of companies — including Tufts Health Plan, Tufts Health Public Plans, Harvard Pilgrim Health Care …Harvard Pilgrim guides and empowers healthier lives by combining high-quality health plans and care programs with compassionate customer service. Individual & family plans Trusted for over 50 years, we take pride in offering comprehensive health plans designed to help keep you and your family healthy.Welcome to Harvard Pilgrim At Harvard Pilgrim Health Plan, we are committed to providing GIC members access to high-quality health care coverage and services to help you stay healthy. Our Medicare Enhance health plan offers preventive care, behavioral health services, wellness programs, and many other great perks.At Harvard Pilgrim Health Care, we’re working to guide and empower healthier lives for everyone, on every step of their health care journey. Our Advance Care Planning program offers resources to help ensure that your health care goals are understood and documented, and that the care you receive is the care you want.Founded by doctors about 50 years ago, Harvard Pilgrim Health Care provides health plans and services to more than 3 million customers, primarily in New England (Massachusetts, Maine, New Hampshire, and Connecticut) but offer national plans for group insurance as well. 1 The provider network includes more than 80,000 doctors …When you write academically, you will research sources for facts and data, which you will likely include in your writing. Using this information will require that you cite your sou...Prescription drug plans. Harvard Pilgrim works with Optum Rx to manage our pharmacy benefits. The type of drug plan you have (either Premium, Value or Core NH) will be shown on your ID card. The dollar or percentage amounts next to “Rx” on your card will tell you how many tiers your plan has. If your card does not show a specific drug plan ...Print simple meditation instructions that you can take anywhere. Download our resource guide for even more mindful tools. Check out our many mindfulness-related discounts and savings for members. Our meditation hotline brings you bite-sized moments of mindfulness - available 24/7 from your phone 877-589-6736.
Change Healthcare interacts with Point32Health and its family of companies — including Tufts Health Plan, Tufts Health Public Plans, Harvard Pilgrim Health Care …. Blink fotness
Select your health plan from the list below. Check the upper right-hand corner of your ID card to help determine what type of plan you are enrolled in. If you need help finding a …While some health plans may auto-assign PCPs to members, know that you can always select a different PCP, one that best aligns with you and your family’s health care needs. 2. Find in-network PCPs. The last thing you want to do is find a great provider, only to learn that they’re out of network. Harvard Pilgrim’s Find a Provider tool ... Harvard Pilgrim guides and empowers healthier lives by combining high-quality health plans and care programs with compassionate customer service. Individual & family plans Trusted for over 50 years, we take pride in offering comprehensive health plans designed to help keep you and your family healthy. Health care plans for everyone. We offer quality, innovative health care solutions that work no matter your age, health, race, identity or income. Browse our plans today. BROWSE PLANS.Harvard Pilgrim Medicare Supplement Monthly Premium Rates Effective January 1, 2023 – December 31, 2023. Note: Medicare Supplement benefit Plan F will not be offered to individuals newly eligible for Medicare on or after January 1, 2020. Issue Age: Plan A: Plan F: Plan G: Plan M: Plan N: Less 65: $376.00: $564.00: $413.00: $410.00:We know that health care and health insurance can sometimes be confusing — so can managing your out-of-pocket costs. Estimate My Cost is an online tool that lets you estimate health care costs for Harvard Pilgrim’s network of providers — before you receive services. Find cost estimates for over 800 services, including office visits; lab ...HOW IT WORKS: The Harvard Pilgrim POS (point-of-service) Plan gives you flexible choices for your health care needs. q If you live within the plan’s service area*, you’ll choose a primary care provider (PCP) to deliver or arrange for your medical care. q Your plan has in-network coverage and out-of-network coverage, which gives you flexibilityHarvard Pilgrim is excited to offer our new wellness reimbursement program, which expands on the existing fitness reimbursement. Now, you and dependents on your health plan can be reimbursed for qualifying fitness, select nutrition and mindfulness program fees up to $150 per individual plan and up to $300 per family plan.Wellesley, Mass. (March 31, 2020) – Harvard Pilgrim Health Care today announced it is waiving member cost-sharing related to treatment for COVID-19. The waiver applies to medical costs associated with COVID-19 treatment at in-network facilities and out-of-network emergencies. The new policy applies to all Harvard Pilgrim commercially …Harvard Pilgrim offers individual, family and Medicare health plans with access to top-quality doctors and hospitals. Learn about their plans, benefits, wellness programs, …Feb 16, 2567 BE ... Harvard Pilgrim Health Care has confirmed that the information of 2632275 individuals was compromised in an April 2023 ransomware attack, ...Supportive care is designed to assist you and your children in achieving your health goals. This program is available when you do not require complex care and may have recently received other treatment, such as in the emergency room. Our care managers provide extended support if you need additional assistance for a longer period of time.Welcome to Harvard Pilgrim. We are committed to providing access to high-quality health care coverage and services to help you and your family stay healthy. Our health plans …Oct 27, 2023 · Harvard Pilgrim is an HMO/HMO POS plan with a Medicare contract. Enrollment in Stride SM (HMO) depends on contract renewal. Links on this page may take you away from the Harvard Pilgrim Health Care website. H6750_24007 Last Update:10/27/2023 The Harvard Pilgrim HMO Coverage Period: 01/01/2023 —12/31/2023 Coverage for: Individual + Family | Plan Type: HMO Important Questions Answers Why This Matters What is the overall deductible? $250 member/ $500 family Benefits are administered on a calendar year basis. Generally you must pay all the costs up to the deductibleHarvard Pilgrim Health Care Helps Transform Open Enrollment. (Wellesley, MA & Portland, ME) September 29, 2020 - Empowering employees to choose the right health plan matters more this year than ever because of COVID-19’s impact on people’s physical and financial health. *In a typical year, approximately only 10 percent of employees change ... Harvard Pilgrim believes it is important for our members to understand all aspects of their health care and coverage. The following explains the principles and methods that determine how Harvard Pilgrim pays physicians. Since, in many cases, the way doctors are paid is determined by the groups with which they practice as well as other factors ... .