Legal problems of health care cost containment.
Employers faced with rising health care costs are exploring various means to control them. One way is prospective utilization review, although this may pose significant legal risks. Another is the capitation form of payment in which an employer contracts with a health care provider either directly or through an employer-sponsored HMO. The authors discuss these alternatives and the implications for employers.
D002140:California; D002204:Capitation Fee; D003363:Cost Control / Q000379:methods; D006264:Health Benefit Plans, Employee / Q000191:economics*; D006279:Health Maintenance Organizations / Q000331:legislation & jurisprudence; D007345:Insurance Claim Review / Q000331:legislation & jurisprudence*; D007348:Insurance, Health / Q000191:economics* / Q000331:legislation & jurisprudence*; D014481:United States; D014600:Utilization Review / Q000331:legislation & jurisprudence*