Word: hmos
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LAWYERS FOR ALL Is your company one of the increasing number that offer prepaid legal plans through payroll deductions? Set up like HMOs, the plans use networks of lawyers to handle estate planning, real estate transactions and other basics. (Divorce is extra.) Some examples: Hyatt Legal Plans, owned by MetLife, charges $13.50 a month; Legal Club of America provides free and discounted services for $8 a month...
...HMOs are bundling up for what could be a long, cold winter. On Monday, California?s Governor Gray Davis made his the third state to allow patients to sue their managed care plans for failing to provide adequate care. Along with legislation recently enacted in Georgia and Texas, California?s new law wrenches much medical decision-making from the grip of HMOs and hands it back to the patients and their doctors. In most states, HMOs are protected from liability in cases where treatment is withheld or delayed in the interest of economy ?- although if congressional Democrats...
...allies: liberal Democrats. While politics and medicine have coexisted since the dawn of modern insurance policies, the stranglehold of each on the other has never been more evident than it is today. Not so many years ago, money-hungry doctors were seen as plundering American wallets, and Democrat-friendly HMOs were perceived as the last line of defense for the poor and the working-class. Oh, how times have changed. Doctors, once the most privileged of American workers, now face plummeting incomes and diminishing control over their practices. HMOs, virtually omnipotent in many states, hold the purse strings...
...When the returns roll in, on that Tuesday night still 15 months away, the pundits will chalk victory up to the issues. The winners will play along. Democrats, if they retake their old stronghold, will declare that America is tired of guns and elitist tax cuts and overarching HMOs. The Republicans, if they hang on, will claim a mandate to refund Americans their money and reclaim for them their values. What the new majority is least likely to fulminate about, at least with any sincerity, is the insidious presence of money in politics. They?ll know the real reason they...
...comes down to whether consumers are willing to pay for increasingly costly health care or subject themselves to a form of medical rationing. That's the core issue to emerge from two surveys, released Wednesday, centered on patient and doctor experiences with HMOs. The doctor data, compiled by the Kaiser Family Foundation together with the Harvard School of Public Health, found a high degree of physician dissatisfaction with a system that continually questions their professional judgment. Among the results: 79 percent of doctors reported trouble getting approval for a drug they wanted to prescribe; 69 percent had difficulty getting approval...