Revenge of the reviewed.
The managed care backlash has shifted to a new target: HMO medical directors. Federal law shields employer-sponsored health plans from most state oversight and lawsuits, but angry enrollees have begun taking a back route, turning state medical boards on doctors in charge of utilization review. One attorney calls them "the soft underbelly of managed care."
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D007345:Insurance Claim Review; D008007:Licensure, Medical / Q000331:legislation & jurisprudence*; D008318:Malpractice / Q000331:legislation & jurisprudence; D008329:Managed Care Programs / Q000191:economics / Q000331:legislation & jurisprudence* / Q000458:organization & administration; D020380:Needs Assessment / Q000331:legislation & jurisprudence; D008486:Physician Executives / Q000331:legislation & jurisprudence*; D010817:Physician-Patient Relations; D014481:United States; D014600:Utilization Review / Q000458:organization & administration*