Insurers expected to abide by more stringent requirements
The long-term effects of the 2001 Racketeer Influenced and Corrupt Organization Act (RICO) class action suit against 10 of the nation's largest insurers are easily overshadowed by the more than $600 million in settlements made by most of the payers over the past several years. However, the true magnitude of the suit is rooted in the changes that providers can expect to see going forward. The key is to understand what will occur, how to monitor it, and what to do if the managed care organizations (MCO) don't play by the rules, says Mike Fleischman, FAAHC, principal of Gates, Moore & Company in Atlanta.
- How Top-Ranked MA Plans Earn Their Stars
- WellPoint Dominates Nearly Half of Markets, AMA Says
- CMS Offers Some ACOs $114M for 'Upfront' Costs
- How Hospitals Can Become 'Upstreamists'
- Ebola: Second TX Nurse Diagnosed After Improper Protective Gear Application
- Providers Ask HHS to Address EHR Interoperability Barriers
- 5 Digital Marketing Efforts Every Hospital Should Try
- 16 Medicare Advantage Plans Earn 5-Star Ratings
- Ebola: A Call for Designated Hospitals
- The Drug Price Reform Debate