Ethics; existing statutes may not stop health plans from discriminating through selective marketing
Article Abstract:
The Clinton administration's health care reform plan falls short of the president's goal of increasing intergenerational justice, personal responsibility and efficiency. One problem is the proposed increase in the role of the profit-making sector, mainly insurance companies. Officials will have to watch out for selective marketing by insurance companies attempting to evade non-discrimination laws. Employee co-payments should, in the interest of fairness, be limited to a percentage of earnings. Priorities in the provision of all 'medically necessary' services must also be set for the plan to function efficiently.
Publication Name: The National Law Journal
Subject: Law
ISSN: 0162-7325
Year: 1993
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Insurance; states have reason to worry about losing authority to regulate insurers
Article Abstract:
The Clinton administration's health care reform plan would have the states divide consumers of medical insurance into 'health alliances,' which would solicit bids from health plans for the coverage of their members. The alliances would also evaluate health care plans, collect premiums from its members and pay the plans. Options for consumers would include the basic plan as well as more generous plans requiring higher co-payment. Problems include pessimism in some quarters that costs can really be contained this way as well as federal usurpation of states' role in regulating health insurers.
Publication Name: The National Law Journal
Subject: Law
ISSN: 0162-7325
Year: 1993
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Antitrust laws; regulatory guidance for venturers is emerging; guidelines in health care and IP areas suggest ways to analyze other business collaborations
Article Abstract:
Guidelines issues by the Federal Trade Commission and the Department of Justice for the health care and intellectual property areas in the late 1990s give some idea of how other kinds of joint ventures can be analyzed. They suggest that, in some instnaces, joint ventures need not have a significant sharing of risk to have efficiency-inducing integration of economic activity. Evidence of a pro-competitive purpose and structure providing incentives for efficiency-enhancing conduct by participants can also be important.
Publication Name: The National Law Journal
Subject: Law
ISSN: 0162-7325
Year: 1998
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- Abstracts: The status-production sideshow: why the antidiscrimination laws are still a mistake. Out of the frying pan or into the fire? Race and choice of venue after Rodney King
- Abstracts: All-in-one dispute resolution: one case, four procedures. Job discrimination claims under collective bargaining
- Abstracts: Why voting is different. Court still ambivalent on redistricting. Contingent fees and criminal cases
- Abstracts: Friends with agendas: amicus curiae briefs may be more popular than persuasive. Avoid malpractice: automate; computerization is a necessity for the '90s
- Abstracts: Taxation; the tax details are sketchy, but the consequences for employers' current plans could be enormous. The IRS, in recently released final regulations, has clarified when executive pay that exceeds $1 million may be deducted by a publicly held corporation