Judicial and legislative responses to cost containment.
Cost containment through reduction of insurance benefits and aggressive utilization review is increasingly risking the sacrifice of good clinical care in the pursuit of financial objectives. This article provides examples of judicial and legislative responses to perceived fiscal intrusions into clinical practice. Principles for asserting clinical goals in the cost containment process are also provided to assist in the inevitable negotiations and battles ahead.
Sederer
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McLean Hospital, Belmont, MA 02178-9106.
D000328:Adult; D003363:Cost Control / Q000191:economics / Q000331:legislation & jurisprudence*; D003695:Delivery of Health Care / Q000191:economics / Q000592:standards*; D005260:Female; D006801:Humans; D007342:Insurance Benefits / Q000191:economics / Q000331:legislation & jurisprudence*; D007883:Legislation, Medical; D008297:Male; D008329:Managed Care Programs / Q000331:legislation & jurisprudence / Q000592:standards; D014481:United States; D014600:Utilization Review / Q000331:legislation & jurisprudence*