We must work together to repair our moral potholes

Article Abstract:

A doctor struggles to find creative ways to finance patient visits, as patients are increasingly demanding in the era of managed care. Although his patient needed a prescription for a topical anesthetic for electrolysis, the product for a cosmetic purpose was not covered by her insurance. After toying with finding a code for the condition that could be billable to the preferred provider organization, the doctor decided to tell the customer the truth. Other minor moral and potentially economically damaging situations occur increasingly at doctors' practices.

Preferred Provider Health Plans, Column, Ethical aspects, Preferred provider organizations (Medical care)

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Cleveland doctors size up potential partners

Article Abstract:

Physicians in Cleveland, OH, are aligning with physician management companies and forming limited liability partnerships with other physicians to combat increasing pressures from competing hospital systems and managed care plans. The majority of physicians in the area are weary of managed care organizations and prefer to remain as autonomous as possible.

Health Plan Administration, Health care industry, Market share, Managed care plans (Medical care), Health insurance industry, Cleveland, Ohio

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