Supreme Court Ordered HMOs to Open -- WSCA

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Date Posted: Tue, Oct 21 2003, 15:57:58
Author: Mark L. La Rue, D.C.
Subject:

Supreme Court Ordered HMOs to Open

I am concerned about the doors closed to the opportunity to see any patient who decides they would prefer to see me (or any other DC they choose) rather than being forced to choose from a small "panel" of privileged doctors in their region. I think that the public is the best judge of what doctor in their community is best for them. This is the best quality control available. The so called Quality Assurance of HMOs like CHP is meaningless and non-sensical. I know of two on our local panel who not only do not follow CHPs rules (they never do on site inspections after inclusion) but also have no idea of which one is an for example an alcoholic or drug abuser. It is clear to me that a management group's real aim is to make money by making the services sought by the public through their paid for health insurance plans - difficult to locate and utilize.

Article excerpt from an article from the Dynamic Chiropractic archives:

"Currently, 20 states have AWP laws on their books. Kentucky has two statuets that prohibit health insurers from "discriminating against any healthcare provider... willing to meet the terms and conditions for participation established by the insurer." The laws also require any health benefit plan that agrees to abide by the plan's terms "to serve as a participating primary chiropractic provider."

I urge all my caring colleagues and the WSCA to pursue our State government in making the AWP law applicable in Washington. The result would be that all duly licensed DCs would have a fair chance at making a living, and the public a better choice of doctors and facillities.

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Replies:

Re: Supreme Court Ordered HMOs to Open -- Lori L. Bielinski, Thu, Oct 23 2003, 13:45:05
- Re: Supreme Court Ordered HMOs to Open -- K. Johns, Fri, Feb 06 2004, 14:27:42