Finance, providers issue brief: HMO medical directors.
Medical directors of managed care organizations have the ultimate responsibility of deciding the treatments for which a health plan will pay. Cognizant of consumer concerns over the power inherent in the position, states are seeking to inject more accountability into the decision-making process. Among the issues with which they have begun to grapple: whether medical directors should be required to hold a medical license from the state in which they work and, by extension, whether they should be under the jurisdiction of the state medical board.
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D006279:Health Maintenance Organizations / Q000331:legislation & jurisprudence; D006801:Humans; D008004:Licensure / Q000331:legislation & jurisprudence; D008486:Physician Executives; D012941:Social Responsibility; D013219:State Government; D014481:United States