Legal crisis threatens managed care
Article Abstract:
The use of managed care has brought about legal challenges in terms of liability lawsuits which were not covered or specified in the original agreements. Several lawsuits have led to damages of millions of dollars because of vague or unclear wording in the patients contract with the health maintenance organization. Providers must make sure that the scope of coverage is clear to the patient, and also must spell out the [physician's liability clearly.
Publication Name: Best's Review Life-Health Insurance Edition
Subject: Insurance
ISSN: 0275-0988
Year: 1995
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Legal crisis threatens managed care
Article Abstract:
An increasing number of verdicts against managed care providers from 'enterprise liability' litigation will worsen unless these organizations take protective measures. This liability has increased in conjunction with managed care's use of cost containment practices that include reduced fees-for-service agreements with physicians. Most verdicts for this type of litigation between 1990 and 1994 resulted in jury awards in excess of $1 million each.
Publication Name: Best's Review Property-Casualty Insurance Edition
Subject: Insurance
ISSN: 0005-9714
Year: 1995
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Managed care aims lobbying against anti-HMO measures
Article Abstract:
A coalition of health maintenance organizations, hospitals, and insurance companies are combining to fight managed care regulations on the California ballot in 1996. The coalition, called Taxpayers Against the Government Takeover, opposes two bills which aim to improve the level of quality in managed care programs by banning certain financial incentives that HMOs use to encourage cost-cutting and rapid treatment in medical facilities.
Publication Name: Best's Review Life-Health Insurance Edition
Subject: Insurance
ISSN: 0275-0988
Year: 1996
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