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Salon.com July 17, 2001 Jake Tapper |
The healthcare disaster that wasn't When Texas passed its patients' bill of rights law, George W. Bush warned that it would unleash a plague of lawyers and drive up health costs. It didn't... |
Salon.com June 13, 2000 David McGuire |
Immune from liability The Supreme Court blocks a potentially important legal path for people who want to sue HMOs. Now, the spotlight is on Congress. |
Managed Care August 2000 Mark D. Abruzzo, J.D. |
Supreme Court Ruling Encourages Greater Awareness Among Patients To you and me, the court's holding in Pegram means that patients cannot sue HMOs under ERISA for giving doctors financial incentives to hold down costs. However, as is typical with many court decisions, this makes one wonder whether it doesn't take on a much greater meaning. |
Managed Care August 2000 Michael Levin-Epstein |
Will Fifth Circuit's Decision Spur Action on Patient Rights? The recent Fifth Circuit Court decision on Texas's statute allowing patients to sue HMOs for denial of physician-recommended care is helping to clarify where state and federal interests in patient rights lie -- and what Congress could do to spell out those interests. |
Managed Care July 2000 Neville M. Bilimoria, J.D. |
HMOs Continue Losing Ground On Liability Issues at State Level The recent U.S. Supreme Court decision offers a nice breather, but executives should not let down their guard, as an Illinois ruling shows. |
Salon.com November 30, 1999 David McGuire |
How to kill HMO reform The lawyers who brought down Big Tobacco have now set their sights on HMOs, but what's wrong with this picture? |
Salon.com August 23, 2000 Jake Tapper |
Patient politics Will healthcare be the albatross around George W. Bush's neck? Al Gore thinks so. |
Managed Care July 2001 Michael Levin-Epstein |
Tilt of Senate to Democrats Speeded Debate on Patients' Rights The Senate debate over the Patients' Bill of Rights made for great theater, but was the outcome ever in doubt? |
Managed Care October 2000 Patrick Mullen |
Interview: Steven B. Epstein, J.D. This pioneering medical legal authority says health plans and physicians should stop fighting over scraps the government throws them... |
Managed Care November 1999 John La Puma, M.D. |
Expanding HMO Liability: Ethical, But Not the Point ...Many states are not waiting for the federal debate about expanding HMO liability to play out... |
Salon.com July 4, 2001 Alicia Montgomery |
Could just anyone get a pacemaker like Cheney's? Not necessarily, HMO critics say. And Bush has already promised to veto a bill that would help patients get care as good as the vice president's... |
BusinessWeek September 16, 2009 Catherine Arnst |
The Truth About Malpractice Lawsuits President Barack Obama tapped into a large vein of public support when he suggested recently that he is open to reforming medical malpractice laws. |
Managed Care August 2001 Frank Diamond |
Consumers Dare You to Just Say 'No' The backlash has helped push a Patients' Bill of Rights forward, challenging the very nature of cost containment. Ironically, enrollees may be shortchanged... |
Managed Care November 1999 |
U.S. Supreme Court To Hear Suit Against HMOs Over Incentives Can HMOs be sued for the practice of offering bonuses to physicians who help them keep the cost of care down?... |
Managed Care November 1999 Allen Briskin & Gerry Hinkley |
HMO Liability Battleground Moving to Courts, Statehouse The adage "all politics is local" may, in the end, become the motto that sinks ERISA. HMO executives should assume protection will evaporate. |
Managed Care September 1999 Bob Carlson |
Businesses Brace for Premium Hikes as Reform Fever Strikes California California will soon enact its first batch of health care laws in over a decade.... |
Salon.com June 20, 2001 Jake Tapper |
Dueling horror stories Congressional advocates of competing patients rights bills stage rival Capitol Hill press events as the health war heats up... |
Managed Care July 2000 |
HMO Incentives Not Grounds for Suit U.S. Supreme Court Rules Unanimously Use of financial incentives in HMOs' contracts with physicians may be losing favor, but it's not about to be declared outright illegal any time soon. The U.S. Supreme Court ruled unanimously that patients maynot sue a health plan just because it offers physicians incentives intended to limit health care services. |
Managed Care June 2002 Bob Carlson |
First Business, Now Health Care: Signing Away One's Right To Sue More and more, mandatory arbitration clauses are surfacing in agreements between businesses and individuals. Will the line be drawn at managed care? |
Managed Care March 2001 Michael Levin-Epstein |
Managed Care Again Seen on Capitol Hill As Ripe for Reform Of the many health care issues circulating in the nation's capital, managed care reform is back as the biggest of them all... |
Managed Care January 2001 Michael Levin-Epstein |
Clinton's Regulations May Be Model For Patient-Rights Legislative Push That handiwork might just provide a preview of the type of patient-rights legislation a sharply divided Congress might produce... |
Managed Care March 2001 Bob Carlson |
State Experiences Suggests Thompson, Bush a Tough Team People who know George W. Bush and Tommy Thompson best predict that between them, these former governors will get a patients-rights bill through Congress and make the federal health care bureaucracy work better... |
Managed Care March 2005 John Carroll |
Going on the Offensive Against Defensive Medicine The $60 billion to $108 billion that could be saved through tort reform would help 2.4 million to 4.3 million uninsured get coverage, the government claims. |
Managed Care March 2002 Charles Downey |
The Department of Managed Care California sets a precedent again, with a bold effort to regulate the HMO industry. While the new Department of Managed Health Care is facing down 50,000 consumer gripes monthly, director Daniel Zingale intends to keep administrative red tape from overwhelming everyone... |
Managed Care September 2003 Michael Chiusano |
Too Early To Write Obituary For Patients' Bill of Rights Back from obscurity, the Patients' Bill of Rights is poised to become an issue in the presidential election -- depending on whom you ask. |
BusinessWeek November 12, 2009 Catherine Arnst |
10 Ways to Cut Health-Care Costs Right Now Employers and hospitals don't have to wait for Congress to address inefficiencies and waste. |
Managed Care January 2007 Maureen Glabman |
Will 'Mea Culpa' Work for Health Plans Too? Hospitals and physicians, to varying degrees, are finding that doing the right thing is good business practice. |
AskMen.com Nick Kennedy |
The Health Care Debate: The Basics The real debate that's sucking the air out of the country and turning cozy town hall meetings into WWE smackdowns is the issue of health care reform. |
Managed Care September 1999 Frank Diamond |
Consumers Join The Fray Electoral politics, the Internet, and much more sophisticated patients have all helped to redistribute power among managed care players. |
BusinessWeek January 8, 2007 Michael Orey |
How Business Trounced The Trial Lawyers By focusing on litigation reform at the state level, business has won key battles. Suddenly, it's a tough time to be a plantiffs' attorney. |
The Motley Fool August 28, 2009 Brian Orelli |
Your Doctor Is Killing You ... Financially What the doctor does has a big effect on how much health care costs. |
Managed Care August 2001 Edward T. Waters |
Administrators Could Be Liable Under Patients' Bill of Rights The Senate version would leave previous state and federal rulings against HMOs intact. Medical directors ignoring external-review boards can be sued... |
Managed Care June 2001 Frank Diamond |
HMO/Physician Strain Creates Invisible Costs Perhaps goodwill is too much to ask for. However, peaceful coexistence can certainly help all players reach their mutual goal -- a smooth relationship that helps to get the job done... |
Managed Care July 2000 Michael Levin-Epstein |
Congress Asked To Take Action As HMOs Flee Managed Medicare Thanks mainly to the increasing cost of providing a prescription drug benefit, HMOs are exiting Medicare+Choice, the system that was supposed to manage the health of the nation's senior citizens, in droves. Only an act of Congress can save Medicare+Choice, but is seems doubtful that will happen. |
Salon.com October 21, 1999 Scott Harris |
Waiting room For the great numbers of uninsured, the care may not be bad -- but the wait is. |
Managed Care May 2000 |
The latest blow to managed care? The Texas attorney general's decision in the Aetna case is the latest in a long string of events that has gutted the fundamentals of managed care. Many in health care think that some or all of these developments have stripped health plans of their ability to manage care effectively.... |
Managed Care July 2002 Frank Diamond |
Premium Hikes: No Cause for Celebration Lost market share and further erosion of public trust will be the long-term by-products of this short-term solution. |
Pharmaceutical Executive February 1, 2014 Ben Comer |
The Active Patient: Faces Of Change Advocacy organizations and individual patients are getting more involved in every facet of the healthcare system, from drug R&D, to federal and state policy all fueled by the hour-to-hour passion of living with a disease and having access to social media. |
Managed Care April 2002 |
Ruling Makes Class-Action Suit More Plausible The idea of a class-action lawsuit against HMOs was boosted by a recent decision in a federal court in Florida. Meanwhile, the Blue Cross and Blue Shield Association has sounded the alarm that efforts to increase health plan liability may be launched in at least eight states... |
Managed Care January 2001 Richard B. Dwore |
Study An Opportunity for HMOs To Use Marketing To Increase Enrollee Satisfaction... |
Managed Care July 2002 John A. Marcille |
Capitation as Whipping Boy: Court Takes on Touchy Issue If plans are to keep coverage decisions reasonable and fair, they'll need tools that involve physicians and patients in the decision-making process. Capitation is one of those. |
Managed Care March 2000 Mark D. Abruzzo |
Beating Obesity Begins By Expanding Tort Reform It's been suggested that, in order to battle obesity, HMOs should use their collective information and knowledge to change their members' behavior.... |
Managed Care November 1999 Uwe Reinhardt, Ph.D. |
Defined Contributions Will Point Employees Toward 'Health Marts' Companies will want to distance themselves from insurance entanglements, giving employees little option but to become more involved.... |
Managed Care December 2002 Diane Cook |
Beware the Hidden Consequences of the Malpractice Crisis Soaring malpractice insurance rates are thinning out provider ranks in at least a dozen states. Could access problems pose issues for HMOs in those areas? |
Managed Care November 1999 |
Reform Bill's OK Prompts Clashes, Dire Predictions Not surprisingly, the House of Representatives' 275--161 vote affirming the Norwood-Dingell health care reform bill prompted wailing and gnashing of teeth from the insurance industry.... |
Salon.com September 26, 2002 Carina Chocano |
Same old mish-"M*A*S*H"! Stat! On "MDs" and "Presidio Med," rogue, renegade and maverick doctors search for a cure for HMOs. |
BusinessWeek June 9, 2009 John Carey |
Giving Patients the Data They Need A growing effort by doctors, insurers, and politicians helps people make better-informed medical decisions |
Managed Care April 2000 Mark Abernathy |
Avoid Common Problems In Risk-Sharing Contracts These arrangements too often become a hindrance instead of a help. Simple precautions today can help prevent major headaches later on. |
Financial Advisor May 2008 David J. Drucker |
The Inconvenient Truth About Health Insurance Health insurance has become one more area of planning that finds itself on a growing list of risks advisors aren't adequately addressing in their clients' financial plans. |
Managed Care January 2002 Donald Wilcox & Stephanie Kanwit |
Debating RICO Suits vs. Health Plans States Failed To Protect Docs From Insurers... Patients Will Suffer; Greedy Lawyers to Blame... |