As managed care expands, liability exposures also grow
As managed care grows, related liability exposures also are growing, forcing plan sponsors and health care providers to become more aware of risk management opportunities. Employers and health plans could find themselves at risk of claims ranging from denial of benefits to how managed care plans are...
Gespeichert in:
| Veröffentlicht in: | Business insurance 1996-07, Vol.30 (31), p.3 |
|---|---|
| 1. Verfasser: | |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | |
|---|---|
| container_issue | 31 |
| container_start_page | 3 |
| container_title | Business insurance |
| container_volume | 30 |
| creator | Zolkos, Rodd |
| description | As managed care grows, related liability exposures also are growing, forcing plan sponsors and health care providers to become more aware of risk management opportunities. Employers and health plans could find themselves at risk of claims ranging from denial of benefits to how managed care plans are selected. In addition, the growth of managed care under workers compensation and state Medicaid programs - neither of which falls under ERISA's protections - may prove the biggest litigation headache on the horizon for managed care providers. According to Bill Brossman of William M. Mercer Inc., courts are increasingly holding that if the case is focused on medical malpractice then the case is allowed to proceed in state court and there is no ERISA protection. |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_reports_233525232</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A18715371</galeid><sourcerecordid>A18715371</sourcerecordid><originalsourceid>FETCH-LOGICAL-g1012-293a8b749596f8bafee4ec9aecb5009b3083fb4cf80dea3552c1155986a3e3503</originalsourceid><addsrcrecordid>eNptjktLxDAUhYMoWEf_Q91PIY-mSZZl8AUDbnRdbtObEuk0Nemg_nsj4045i8s5fNxzzkjBpFSVUoadk4JSqqpGN_UluUrpLVvGmSxI06byADOMOJQWIpb4ucA8pG05eej95NevnyikY8RUwpRCOcbwcU0uXDZ483s35PX-7mX3WO2fH5527b4aWS6ouBGge1UbaRqne3CINVoDaHtJqekF1cL1tXWaDghCSm5ZXm10AwKFpGJDbk9_lxjej5jWLuIS4po6LoTkkgueme2JGWHCzs8urBHsiDNGmMKMzue4ZVoxKRTLePUPnjXgwdu__Dc0QGCL</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>233525232</pqid></control><display><type>article</type><title>As managed care expands, liability exposures also grow</title><source>EBSCOhost Business Source Complete</source><creator>Zolkos, Rodd</creator><creatorcontrib>Zolkos, Rodd</creatorcontrib><description>As managed care grows, related liability exposures also are growing, forcing plan sponsors and health care providers to become more aware of risk management opportunities. Employers and health plans could find themselves at risk of claims ranging from denial of benefits to how managed care plans are selected. In addition, the growth of managed care under workers compensation and state Medicaid programs - neither of which falls under ERISA's protections - may prove the biggest litigation headache on the horizon for managed care providers. According to Bill Brossman of William M. Mercer Inc., courts are increasingly holding that if the case is focused on medical malpractice then the case is allowed to proceed in state court and there is no ERISA protection.</description><identifier>ISSN: 0007-6864</identifier><identifier>EISSN: 1557-7791</identifier><identifier>CODEN: BUINEW</identifier><language>eng</language><publisher>Chicago: Crain Communications, Inc</publisher><subject>Analysis ; Employer liability ; Employers ; ERISA ; Group health insurance ; Health care ; Health insurance ; Health maintenance organizations ; Insurance claims ; Insurance coverage ; Laws, regulations and rules ; Liability insurance ; Litigation ; Managed care ; Managed care plans (Medical care) ; Medicaid ; Medical malpractice ; Prevention ; Professional liability ; Risk exposure ; State courts ; Workers compensation</subject><ispartof>Business insurance, 1996-07, Vol.30 (31), p.3</ispartof><rights>COPYRIGHT 1996 Crain Communications, Inc.</rights><rights>Copyright Crain Communications, Incorporated Jul 29, 1996</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782</link.rule.ids></links><search><creatorcontrib>Zolkos, Rodd</creatorcontrib><title>As managed care expands, liability exposures also grow</title><title>Business insurance</title><description>As managed care grows, related liability exposures also are growing, forcing plan sponsors and health care providers to become more aware of risk management opportunities. Employers and health plans could find themselves at risk of claims ranging from denial of benefits to how managed care plans are selected. In addition, the growth of managed care under workers compensation and state Medicaid programs - neither of which falls under ERISA's protections - may prove the biggest litigation headache on the horizon for managed care providers. According to Bill Brossman of William M. Mercer Inc., courts are increasingly holding that if the case is focused on medical malpractice then the case is allowed to proceed in state court and there is no ERISA protection.</description><subject>Analysis</subject><subject>Employer liability</subject><subject>Employers</subject><subject>ERISA</subject><subject>Group health insurance</subject><subject>Health care</subject><subject>Health insurance</subject><subject>Health maintenance organizations</subject><subject>Insurance claims</subject><subject>Insurance coverage</subject><subject>Laws, regulations and rules</subject><subject>Liability insurance</subject><subject>Litigation</subject><subject>Managed care</subject><subject>Managed care plans (Medical care)</subject><subject>Medicaid</subject><subject>Medical malpractice</subject><subject>Prevention</subject><subject>Professional liability</subject><subject>Risk exposure</subject><subject>State courts</subject><subject>Workers compensation</subject><issn>0007-6864</issn><issn>1557-7791</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><recordid>eNptjktLxDAUhYMoWEf_Q91PIY-mSZZl8AUDbnRdbtObEuk0Nemg_nsj4045i8s5fNxzzkjBpFSVUoadk4JSqqpGN_UluUrpLVvGmSxI06byADOMOJQWIpb4ucA8pG05eej95NevnyikY8RUwpRCOcbwcU0uXDZ483s35PX-7mX3WO2fH5527b4aWS6ouBGge1UbaRqne3CINVoDaHtJqekF1cL1tXWaDghCSm5ZXm10AwKFpGJDbk9_lxjej5jWLuIS4po6LoTkkgueme2JGWHCzs8urBHsiDNGmMKMzue4ZVoxKRTLePUPnjXgwdu__Dc0QGCL</recordid><startdate>19960729</startdate><enddate>19960729</enddate><creator>Zolkos, Rodd</creator><general>Crain Communications, Inc</general><general>Crain Communications, Incorporated</general><scope>K9.</scope></search><sort><creationdate>19960729</creationdate><title>As managed care expands, liability exposures also grow</title><author>Zolkos, Rodd</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g1012-293a8b749596f8bafee4ec9aecb5009b3083fb4cf80dea3552c1155986a3e3503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Analysis</topic><topic>Employer liability</topic><topic>Employers</topic><topic>ERISA</topic><topic>Group health insurance</topic><topic>Health care</topic><topic>Health insurance</topic><topic>Health maintenance organizations</topic><topic>Insurance claims</topic><topic>Insurance coverage</topic><topic>Laws, regulations and rules</topic><topic>Liability insurance</topic><topic>Litigation</topic><topic>Managed care</topic><topic>Managed care plans (Medical care)</topic><topic>Medicaid</topic><topic>Medical malpractice</topic><topic>Prevention</topic><topic>Professional liability</topic><topic>Risk exposure</topic><topic>State courts</topic><topic>Workers compensation</topic><toplevel>online_resources</toplevel><creatorcontrib>Zolkos, Rodd</creatorcontrib><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>Business insurance</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zolkos, Rodd</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>As managed care expands, liability exposures also grow</atitle><jtitle>Business insurance</jtitle><date>1996-07-29</date><risdate>1996</risdate><volume>30</volume><issue>31</issue><spage>3</spage><pages>3-</pages><issn>0007-6864</issn><eissn>1557-7791</eissn><coden>BUINEW</coden><abstract>As managed care grows, related liability exposures also are growing, forcing plan sponsors and health care providers to become more aware of risk management opportunities. Employers and health plans could find themselves at risk of claims ranging from denial of benefits to how managed care plans are selected. In addition, the growth of managed care under workers compensation and state Medicaid programs - neither of which falls under ERISA's protections - may prove the biggest litigation headache on the horizon for managed care providers. According to Bill Brossman of William M. Mercer Inc., courts are increasingly holding that if the case is focused on medical malpractice then the case is allowed to proceed in state court and there is no ERISA protection.</abstract><cop>Chicago</cop><pub>Crain Communications, Inc</pub></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0007-6864 |
| ispartof | Business insurance, 1996-07, Vol.30 (31), p.3 |
| issn | 0007-6864 1557-7791 |
| language | eng |
| recordid | cdi_proquest_reports_233525232 |
| source | EBSCOhost Business Source Complete |
| subjects | Analysis Employer liability Employers ERISA Group health insurance Health care Health insurance Health maintenance organizations Insurance claims Insurance coverage Laws, regulations and rules Liability insurance Litigation Managed care Managed care plans (Medical care) Medicaid Medical malpractice Prevention Professional liability Risk exposure State courts Workers compensation |
| title | As managed care expands, liability exposures also grow |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-16T04%3A55%3A02IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=As%20managed%20care%20expands,%20liability%20exposures%20also%20grow&rft.jtitle=Business%20insurance&rft.au=Zolkos,%20Rodd&rft.date=1996-07-29&rft.volume=30&rft.issue=31&rft.spage=3&rft.pages=3-&rft.issn=0007-6864&rft.eissn=1557-7791&rft.coden=BUINEW&rft_id=info:doi/&rft_dat=%3Cgale_proqu%3EA18715371%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=233525232&rft_id=info:pmid/&rft_galeid=A18715371&rfr_iscdi=true |