Managed care liability update.
As the volume of litigation involving managed care grows, the liability issues become clearer. For example, recent decisions demonstrate that failure to provide access to qualified physicians, failure to process claims appropriately, denial of claims and undue delay of treatment can and do lead to liability. Moreover, the federal Employment Retirement Income Security Act of 1974 (ERISA) won't protect the managed care providers, and physicians may sue the managed care organization if its policies or agents open them to liability.
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D006801:Humans; D007345:Insurance Claim Review / Q000331:legislation & jurisprudence*; D016365:Liability, Legal; D008318:Malpractice / Q000331:legislation & jurisprudence*; D008329:Managed Care Programs / Q000331:legislation & jurisprudence* / Q000592:standards*; D014481:United States