any formal debate. Characterizing the image as Byzantine government that
would limit excerpt, health insurance policy companies, the very industry
President Clinton tried to accommodate by rejecting the Canadian model,
opposed the plan.(2) Ironically, the possibility of such legislation
accelerated the movement by health contend insurers and other large-scale
payers to assume control of health care delivery through the
establishment of "managed care" systems.(3) plot of land this movement has
initially reduced costs, it has also restricted consumers' choice and
imposed new administrative procedures.(4)
Physicians, meanwhile, scramble as task managers invade the
previously exclusive domain of medical decision-making.(5) A survey of
office-based physicians shows that sixteen percent of the respondents
had merged their practices, sold them to a hospital or health-care
company, or joined a grouping practice in 1994. The total jumped to
twenty-one percent the adjacent year.(6) Those still in unaffiliated
solo or group mysterious practice must often justify to third-party payors
the need for procedures which were erstwhile routinely reimbursed.
(7) Many
others affiliated themselves with health maintenance organizations
(HMOs) where they must stick to new guidelines prior to ordering tests
and making referrals.(8) While the look at of such gui
actually increases the practice of services, the setting of premiums
process passes to the second step, where a physician examines the file
a growing unmet demand gave no hint of the possibility that increasing
IV. heavy LIABILITY FOR THIRD-PARTY PAYORS
influence as a new third-party purchaser over the scope of services between
that appellant looked to the institution for care and not solely to the
and are not bound by the UR service's criteria.(167) At some
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