An interesting article in this week’s edition of AMEDNEWS includes a question and answer session with Mississippi internist Todd Coulter and his change to an all cash payment plan. As detailed in the article, about seven months ago, Dr. Coulter's practice, Midway Family Care in Ocean Springs, stopped accepting insurance, and began seeing patients on a cash-only basis. Dr. Coulter charges $40 for an office visit, paid in cash, and patients can receive other tests, such as $40 x-rays without going elsewhere. Patients who have insurance are encouraged to file claims directly with their respective insurance company. For the entire article please go to www.ama-assn.org. For additional information concerning HMO litigation, please visit the HMO Crisis Newsroom.