The time lag between when an employee makes a coverage choice and when the plan receives notification from the employer's personnel office can result in expense and problems for patients, physicians and the plan.
Some academic researchers warn that managed care's emphasis on low-cost care means that plans won't support expensive research at academic medical centers. Industry representatives say research is not being ignored.
Physicians and hospitals have always been subject to liability claims, but now health plans are becoming vulnerable too. Adverse events cannot be eliminated, but there are many ways to reduce liability exposure.
Allen D. Spiegel, Ph.D., M.P.H. & Florence Kavaler, M.D., M.P.H.