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Full-Text Articles in Law
Increasing Consumer Power In The Grievance And Appeal Process For Medicare Hmo Enrollees, Kenneth J. Pippin
Increasing Consumer Power In The Grievance And Appeal Process For Medicare Hmo Enrollees, Kenneth J. Pippin
University of Michigan Journal of Law Reform
Federal law requires that Health Maintenance Organizations (HMOs) and Managed Care Organizations (MCOs) provide Medicare beneficiaries with specific grievance and appeal rights for challenging adverse decisions of these organizations. The Health Care Financing Administration (HCFA) is charged with enforcing these regulations. Currently, however, HCFA contracts with HMOs, allowing them to enroll Medicare beneficiaries despite the fact that many of the statutory and regulatory requirements are ignored by the Medicare HMOs. This is problematic because the elderly Medicare population may not be able to independently and adequately challenge the HMO's denial of care or reimbursement. Because HCFA has been reluctant and …
Health Care Marketing Under The Anti-Kickback Statute, Eric S. Tower
Health Care Marketing Under The Anti-Kickback Statute, Eric S. Tower
University of Miami Business Law Review
No abstract provided.
Is Managed Care Good For What Ails You - Ruminations On Race, Age And Class, Frank M. Mcclellan
Is Managed Care Good For What Ails You - Ruminations On Race, Age And Class, Frank M. Mcclellan
Villanova Law Review
No abstract provided.