April 1998 AAOS Report

On March 26, Rep. David Weldon (R-Fla.) and Rep. Sherrod Brown (D-Ohio) held a press conference to introduce legislation - the Patient Choice and Access to Quality Health Care Act - developed by the Patient Access to Specialty Care Coalition. The coalition is comprised of 130 patient and physician groups, and is cochaired by Nicholas Cavarocchi, director of the Academyís Washington office. The bill requires that all managed care plans should allow consumers the right to see doctors and/or specialists outside the network for a reasonable copayment; consumers should have the opportunity to choose from multiple plans with complete information to select the best health care plan; all health plans should fully disclose any financial arrangements between the managed care organization and doctors that would influence the highest quality of patient care; all health care plans should have an expedited independent appeals mechanism to review any denial of patient care; and financial incentives or disincentives that can influence a physicianís decision about a patientís care should be prohibited.

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