Managed Care


Missouri Clarifies Provisions of New HMO Choice Rules

MANAGED CARE March 1998. © MediMedia USA
State Initiatives

Missouri Clarifies Provisions of New HMO Choice Rules

MANAGED CARE March 1998. ©1998 Stezzi Communications

Missouri's insurance department has spelled out exactly what HMOs in the state have to do to comply with employee choice provisions of regulations passed last year. Insurance Director Jay Angoff sent a bulletin to the more than 30 state-licensed HMOs specifying the choices they must offer to members of plans covering 50 or more workers.

Angoff said HMOs could comply with the law in any of three ways: If they don't require HMO members to see a primary care gatekeeper physician before going to a specialist; offer a fee-for-service plan as an alternative to an HMO gatekeeper plan; or offer a modified HMO that allows unrestricted access to specialists as an alternative to an HMO gatekeeper plan. The directive applies to plans that were issued or renewed after Aug. 28, 1997, when the law took effect.


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
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium 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
6th Semi-Annual Diagnostic Coverage and Reimbursement Conference Boston December 4–5, 2014
Customer Analytics & Engagement in Health Insurance Chicago December 4–5, 2014
Pharmaceutical and Biotech Clinical Quality Assurance Conference Alexandria, VA December 4–5, 2014
9th Semi-Annual Medical Device Coverage and Reimbursement Conference San Diego December 5, 2014
8th Annual Medical Device Clinical Trials Conference Chicago December 8–9, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015