Consumer protection in managed care: finding the balance.
نویسنده
چکیده
منابع مشابه
Consumer protection and managed care: the need for organized consumers.
Despite its many advantages, managed care creates new problems for consumers. Activists have proposed four types of remedies: (1) increased information and choice; (2) standards for services and marketing; (3) administrative oversight; and (4) procedural due process for complaints. Each approach offers some benefits, but they are insufficient to cope with consumer problems. What is lacking is e...
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Professor Trubek describes the role of the states in patient and consumer protection in the managed care era. In particular, this article focuses on the managed care patient protection mechanisms used in Wisconsin: informing consumers, encouraging dispute resolution and influencing contracts. The discussion includes an analysis of the effects of these mechanisms on the actors in the health care...
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PURPOSE This article presents results of a survey of the attitudes and practices of managed care organizations (MCOs) concerning consumer direction. The study focused on understanding several alternative measures of consumer direction and the factors that are associated with the MCOs concerning those measures. DESIGN AND METHODS The MCOs that were surveyed provided capitated managed long-term...
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In 1996, Governor Wilson and the California Legislature established the Managed Health Care Improvement Task Force to inform state leaders about the health industry in California; the impact of managed care on quality, access, and cost of care; issues of special concern to consumers; and the appropriate role of government in relation to managed care. The Task Force consisted of 30 members and 7...
متن کاملPegram v Herdrich: Implications for Consumer Protections in Managed Care
This Report, prepared for the Substance Abuse and Mental Health Services Administration, provides a brief overview of the United States Supreme Court’s landmark decision in Pegram v Herdrich (hereinafter referred to as Herdrich). This report begins with a brief overview of the debate in the courts over how to distinguish between legal challenges to the conduct of managed care companies in which...
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ورودعنوان ژورنال:
- Health affairs
دوره 16 1 شماره
صفحات -
تاریخ انتشار 1997