April 2000 AAOS Report

Health care plans should be held accountable: AAOS

The AAOS Board of Directors also approved a Position Statement on "Health Care Plan Accountability." The statement declares that some federal protections are necessary to restore the physician-patient relationship, preserve the patient's choice of physician and enhance access to specialty care. The AAOS also believes that all health plans must be held accountable for their actions and that plan procedures and requirements and coverage decisions that may adversely affect their enrollees. The AAOS supports requiring every health plan to provide for, or submit to, a binding expedited, independent external appeals mechanism or review for coverage decision-making and grievances against the plan. The board also revised the AAOS Position Statement on "Performance and Interpretation of In-Office Radiographic Studies by Orthopaedic Surgeons," to include alternative imaging techniques, including CT, DEXA and MRI.

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