The role of the health care ombudsman.
Beginning in the 1990s, with increased attention focused on the alleged abuses and arbitrary decision making by MCOs, several states began enacting legislation to establish health care ombudsmen. A variety of states, including the District of Columbia, are now considering health care ombudsman legislation. This article focuses on the varying role, functions, and duties of the health care ombudsman in each of these states and their benefit to the health care environment.
Berman
Lawrence E
LE
Law Office of Lawrence E. Berman, District of Columbia Insurance Federation, Washington, DC 20036, USA. larry1545@aol.com
D003657:Decision Making; D003695:Delivery of Health Care; D020793:Gatekeeping / Q000331:legislation & jurisprudence; D008329:Managed Care Programs / Q000331:legislation & jurisprudence; D010344:Patient Advocacy; D024382:Professional Role; D014481:United States