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Re: OB: Why is there litigation for persistent nerve injuryFrom: art fougner, md (evsono@pipeline.com)Tue Apr 28 08:05:45 1998
hey hey - looks like the insurance industry is waking up to the tort nightmare the docs have been enjoying for quite some time. Today, from Reuters - Legislative Expansion Of Liability Called A "Threat" To Insurance Plans WASHINGTON, Apr 28 (Reuters) - Permitting patients who have been denied care to sue their health plans could boost premium costs by between 2.7% and 8.6%, resulting in the potential loss of health insurance for between 561,000 and 1.8 million Americans in 1999, according to a study released Monday by the American Association of Health Plans. The analysis, conducted by the Barents Group and released at a Monday news conference was sponsored by the Health Benefits Coalition, a group of business and insurance groups that oppose legislative efforts to regulate managed care. Results showed that liability provisions such as the one included in the Patient Access to Affordable Care Act, or PARCA, would require health plans to pay more for liability insurance, to relax utilization review requirements to potentially allow more "defensive medicine" in order to avoid being sued, and to maintain additional records on treatment decisions. "We see the proposed expansion of liability as the greatest of many threats..." in various managed care mandate bills under consideration in Congress, said Bruce Josten, Executive Vice President of the US Chamber of Commerce. Josten said that, because some of the bills would also permit aggrieved patients to sue their employers, his organization would urge its members to stop offering health insurance if such legislation was to become law. "Liability expansion directly threatens the future of employer-provided healthcare coverage," he said. Speakers at the news conference said that they would oppose liability expansions even if the expansions do not reach employers. "Scarce resources for healthcare should be provided for healthcare, not vacation homes for trial lawyers," said Samuel Maury, President of the Business Roundtable, which represents the nation's largest employers. AAHP President Karen Ignagni argued that Congress should not pass any legislation at all to regulate managed care practices, because the problems are already being fixed. "The private sector is working together to address all of the issues that are on the political table," she said. -Westport Newsroom 203 319 2700
At Sun, 26 Apr 98, Robert J. Woolley wrote:
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SNIP
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-- art fougner, md SonoScan/Genetic Sciences forest hills, ny evsono@pipeline.com
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