Article: Health plan liability in the age of managed care.(Health Care and the Law)

AS THE landscape of health care has been transformed from one dominated by fee-for-service providers and indemnity insurers to one in which "managed care" is rapidly achieving hegemony, a litigation earthquake has been building. Cost containment mechanisms commonly employed by managed care plans--pre-authorization requirements, second surgical opinions, length-of-stay limitations, choice of provider restrictions, capitation and other provider risk-sharing mechanisms--insinuate managed care plans in medical decisions in ways unknown under traditional indemnity health insurance. Because these mechanisms may affect directly the medical care received by patients covered by ...

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