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.
- Providers Lag as Consumers Set Agenda
- Look Beyond Nurse-Patient Ratios
- Esther Dyson Launches Population Health Challenge
- Reform Puts Vise Grips on Physicians
- Crisis Spurs Healthcare Payment Reform in Arkansas
- Hospital Groups Back NQF Report on Patient Sociodemographics
- ICD-10 Delay Alters Provider, Vendor Prep
- NPP Demand Rising Under Value-Based Care Models
- Medicare Opt-Out a Viable Physician Strategy
- Reduce Readmissions by Activating Patients to Do 'Self-Care'