Finance issue brief: HMO medical directors: year end report-2002.
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. Lawmakers have begun to grapple with 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.
Morgan
Rachel
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MacEachern
Lillian
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D005544:Forecasting; D006279:Health Maintenance Organizations / Q000331:legislation & jurisprudence* / Q000639:trends; D006291:Health Policy / Q000331:legislation & jurisprudence* / Q000639:trends; D006801:Humans; D007345:Insurance Claim Review / Q000331:legislation & jurisprudence* / Q000639:trends; D019458:Insurance Coverage / Q000331:legislation & jurisprudence* / Q000639:trends; D008486:Physician Executives / Q000331:legislation & jurisprudence* / Q000639:trends; D012941:Social Responsibility; D014481:United States