Managed Care

 

Liability Closer; Work on Physician Bargaining Begins

MANAGED CARE April 2000. © MediMedia USA
News and Commentary

Liability Closer; Work on Physician Bargaining Begins

MANAGED CARE April 2000. ©2000 MediMedia USA

A House-Senate conference committee expects to craft a compromise managed care reform bill by the end of this month. The sometimes contentious committee meetings have been punctuated by disagreement on liability.

In the end, the committee is expected to endorse a limited right to sue health plans — despite Chairman Don Nickles's ardent opposition to it. One scenario may allow suits in federal courts under certain circumstances, which would make damage awards more predictable than those filed in state courts.

Families USA warns that the House and Senate bills would lead to higher premiums and undermine the employer-based system of coverage. The establishment of so-called health marts would "fragment the risk pool" by enticing the healthier people into lower-cost plans, says Executive Director Ron Pollack.

Meanwhile, the House Judiciary Committee has begun work on California Rep. Tom Campbell's bill that would give physicians and other health care professionals collective bargaining rights. Opponents say the bill would boost premiums 10 percent.

Meetings

Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
National Healthcare CXO Summit Las Vegas, NV October 19–21, 2014
Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014