This Article examines current tort remedies for personal injury claims and explores the problems that arise when these remedies are applied to physicians\u27 actions that are directed by third-party payers. Part II of this Article explores the organization and historical development of managed health care products. Part III considers the past and present uses of the utilization review process and financial risk shifting. Part IV explores the applicability of traditional theories of tort liability to third-party payers, including direct liability of third-party payers who market managed care products. Part V considers the barriers that ERISA presents to compensating patients for cost containment injuries. Part VI proposes a no-fault med...
This paper looks at the ethical problems posed by managed care (in particular, at its incentives to ...
This study examines the structure and operation of Medicaid and State Children\u27s Health Insurance...
Fiscal consolidation, escalating health care costs and demographic changes are placing universal pub...
This Article examines current tort remedies for personal injury claims and explores the problems tha...
Duty of care is a critical component of any negligence claim necessary to establish liability. It is...
Health-care consumption in the United States has risen from 5.2% in 1960 to 17.8% of 2009 Gross Dome...
Managed care plan subscribers in need of emergency medical treatment often face unduly restrictive p...
Havighurst and Richman seek to show the nature--and to suggest the cumulative attitude--of the many ...
Many states have implemented laws which limit non-economic (e.g., pain and suffering) damages as a r...
Health insurers are generally guided by the principle of actuarial fairness, according to which th...
Excessive medical debt resulting from the provision of health care can cause families and individual...
This paper examines Corporate Health and argues the policy wisdom of imposing malpractice liability ...
The medical malpractice liability system is blamed for everything from the high cost of health care ...
Describes the implementation of shared payer-provider risk payment models at eight private accountab...
Examines the flaws in the current fee-for-service and pay-for-performance systems, proposes goals fo...
This paper looks at the ethical problems posed by managed care (in particular, at its incentives to ...
This study examines the structure and operation of Medicaid and State Children\u27s Health Insurance...
Fiscal consolidation, escalating health care costs and demographic changes are placing universal pub...
This Article examines current tort remedies for personal injury claims and explores the problems tha...
Duty of care is a critical component of any negligence claim necessary to establish liability. It is...
Health-care consumption in the United States has risen from 5.2% in 1960 to 17.8% of 2009 Gross Dome...
Managed care plan subscribers in need of emergency medical treatment often face unduly restrictive p...
Havighurst and Richman seek to show the nature--and to suggest the cumulative attitude--of the many ...
Many states have implemented laws which limit non-economic (e.g., pain and suffering) damages as a r...
Health insurers are generally guided by the principle of actuarial fairness, according to which th...
Excessive medical debt resulting from the provision of health care can cause families and individual...
This paper examines Corporate Health and argues the policy wisdom of imposing malpractice liability ...
The medical malpractice liability system is blamed for everything from the high cost of health care ...
Describes the implementation of shared payer-provider risk payment models at eight private accountab...
Examines the flaws in the current fee-for-service and pay-for-performance systems, proposes goals fo...
This paper looks at the ethical problems posed by managed care (in particular, at its incentives to ...
This study examines the structure and operation of Medicaid and State Children\u27s Health Insurance...
Fiscal consolidation, escalating health care costs and demographic changes are placing universal pub...