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Courts shaping reform: lawyers see legal, regulatory actions steering market

Article Abstract:

The health care industry is being reformed by administrative and court rulings instead of legislative action. Legal experts say the lack of action by legislators has allowed the market to resolve problems, which may be a better method than radical legal reforms. There is room for gradual legislative corrective measures, but the courts have stepped in and established some rules. The Supreme Court gave states the power to create their own reforms in its decision to allow state surcharges on hospital rates.

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Managed care M*A*S*H

Article Abstract:

Physician group Acucare provides a service linking emergency medical care with managed care objectives through the use of medical intensivists collaborating with emergency medical personnel. The group has been successfully assisting managed care providers in the Washington, DC area since 1988. For example, Acucare saved Kaiser Permanente over $1 million for emergency services in the Washington, DC area during 1991.

Economic aspects, Services, Emergency medical services, Acucare

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Bill includes limited, but significant, patient protections

Article Abstract:

The American Medical Assn (AMA) and other specialty groups have mixed reactions to the Medicare bill that was passed by the House of Representatives. Though the bill includes patient-protecting provisions relating to quality assurance, appeals and grievances, and disclosure, it does not include rules governing due process, utilization review, and emergency coverage that the groups had been lobbying for.

Administration of Public Health Programs, Health Care Services, Political activity, American Medical Association, Medicare

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