Signs of progress evident in patient protection battle

Article Abstract:

Developments in Washington, DC, Colorado, and Texas indicate that some insurers and doctors are moving closer together on the issue of protections for patients and physicians in managed-care organizations. Washington physicians and a Blue Cross preferred-provider organization reached a legal agreement that provides due process for physicians excluded from the plan and allows physicians' direct involvement in credentialing.

HEALTH SERVICES, Direct Health and Medical Insurance Carriers, Hospital and medical service plans, Medical Care Insurance, Health Plan Administration, Health insurance, Managed care plans (Medical care), Health insurance industry

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Marketplace issues haunt physicians; provider protections, antitrust relief urged

Article Abstract:

Physicians have more to worry about, as they grow increasingly optimistic about tort-reform in Apr 1995. Such issues as ERISA reform, antitrust relief and oversight of unfair managed care practices must be faced along with the noneconomic-damage cap proposal that is working its way through Congress and must pass the Senate to be approved. The tort-reform measure has the support of the American Medical Assn.

Administration of Public Health Programs, Health Care Services NEC, Planning, Health care industry, Medical care, Tort reform

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