Judge, patients urge changes to Medicare HMO appeals

Article Abstract:

A landmark health care case in Arizona has Medicare officials anxious to speed up the Health Maintenance Organization (HMO) appeals process, even though an initiative to do so is already underway in the Health Care Financing Administration's Office of Managed Care. The class action suit against Medicare began in 1993, after a diabetic Arizona woman had to fight her health plan for services she needed to stave off a decline in her condition. An Arizona judge has responded to the case by drafting a Medicare appeals resolution plan.

Health Care Financing Admin, Cases, United States. Centers for Medicare and Medicaid Services, United States. District Court. Arizona

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Medicare deal-making amid budget chaos

Article Abstract:

Congressional debate over Medicare reform threatens to eliminate several favored provisions of the American Medical Association and physician groups. Tort reforms and revised rules for provider service organizations are at the top of the healthcare industry's agenda. Parliamentary procedures, such as Senate filibusters and the Byrd rule, continue to compromise the efficiency of the healthcare reform process.

Medical Personnel, Laws, regulations and rules, Health care industry, Political activity, Political aspects, Health care reform

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Medicare due for changes - but they won't come easy

Article Abstract:

Medicare trustees predict bankruptcy by 2002 for the trust fund that supports Part A services and hospitals unless changes are made. Expenditures for Part B services are also growing too fast. Congressional committees are pushing legislation that would influence Medicare recipients to leave fee-for-service and encourage them to join managed care groups, including health maintenance organizations.

Health Care, Usage, Finance, Forecasts and trends, Membership, Medical care, Cost of, Health care costs, Managed care plans (Medical care)

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