HMOs oppose rules protecting doctors from risk

Article Abstract:

Health maintenance organizations are objecting to proposed rules by the Health Care Financing Administration (HCFA) that would force them to provide physicians with stop-loss insurance if performance incentives put physicians at financial risk for the cost of referral services. Such insurance would limit any loss. The HCFA had sought to define the risk as either annual witholds exceeding 25% of a physician's income for the plan or bonuses that might exceed 33% of pre-bonus payments. HMO leaders are proposing that the HCFA replace these set percentages with figures based on patient panel size.

Hospital and medical service plans, Health maintenance organizations, Insurance

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How to deal with requirements of OSHA safety rules

Article Abstract:

Physicians must complete an Exposure Control Plan by May 5, 1992 to be in compliance with the Occupational Safety and Health Administration's bloodborne-pathogen standards. The plan documents risks present in the workplace and protective measures being used. The plan must include an exposure determination list, a schedule and methods for implementation and protocols for the evaluation of exposure incidents.

Regulation misc. commercial sectors, Standards, United States. Occupational Safety and Health Administration, Medical wastes, Medical offices

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Guns as a public health issue: internists, surgeons say doctors should talk about gun safety - but few do

Article Abstract:

Physicians overwhelmingly support involvement in firearm-injury prevention, according to a survey, yet the vast majority of them do not address the issue with patients. Despite 72.1% of surgeons and 83.7% of internists indicating desired participation in gun safety, 72.9% of surgeons and 59.3% of internists have never talked about the subject with their patients.

HEALTH SERVICES, Health Problems Prevention, All Other Miscellaneous Ambulatory Health Care Services, Physicians & Surgeons, Offices of Physicians (except Mental Health Specialists), Practice, Firearms, Preventive medicine

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