TITLE

Split standard

AUTHOR(S)
Lentz, Rebecca
PUB. DATE
January 2002
SOURCE
Modern Physician;Jan2002, Vol. 6 Issue 1, p24
SOURCE TYPE
Trade Publication
DOC. TYPE
Article
ABSTRACT
Presents information on a case to be heard by the United States Supreme Court on compliance by health plans with external review board laws. Facts of the case Rush Prudential HMO versus Moran; Possible scenarios that will arise from the case.
ACCESSION #
6035098

 

Related Articles

  • SUPREME COURT HEARS HMO MEDICAL REVIEW CASE.  // hfm (Healthcare Financial Management);Mar2002, Vol. 56 Issue 3, p22 

    Reports on a hearing by the U.S. Supreme Court of a patients' rights case on January 16, 2002. Background on the Rush Prudential HMO Inc. versus Moran case; Provisions of the Illinois HMO Act; Basis of the decision.

  • When the HMO says No. Rice, Berkeley // Medical Economics;5/10/2002, Vol. 79 Issue 9, p43 

    Discusses the impact of the U.S. Supreme Court case Rush Prudential HMO versus Moran on the issue of an Illinois law that calls for an independent review when a health maintenance organization would not pay for treatment recommended by the patient's physician. Overview of the lawsuit filed by...

  • RUSH PRUDENTIAL HMO, INC. v. MORAN et al.: certiorari to the united states court of appeals for the seventh circuit .  // Supreme Court Cases: The Twenty-first Century (2000 - Present);2009, p1 

    The article presents information on U.S. Supreme Court case Rush Prudential HMO Inc. v. Moral et al., case number 00-1021, argued on January 16, 2002 and decided on June 20, 2002. Petitioner denied respondent's request to have surgery by an unaffiliated specialist on the ground that the...

  • U.S. Supreme Court Upholds State HMO Act Requirement for Independent Medical Review of ERISA Plan Claim Denial. Conway, Susan G. // Venulex Legal Summaries;2002 Q3, p1 

    The article reports on the ruling of the U.S. Supreme Court on the case Rush Prudential HMO Inc. versus Moran which concerns on the state medical review requirement for Employee Retirement Income Security Act (ERISA) plan claim. It held that a health maintenance organization (HMO) that contracts...

  • Independent External Review of Health Maintenance Organizations' Medical-Necessity Decisions. Mariner, Wendy K. // New England Journal of Medicine;12/26/2002, Vol. 347 Issue 26, p2178 

    The article discusses the decision administered by the U.S. Supreme Court in the case Rush Prudential HMO, Inc. v. Moran with reference to the federal Employee Retirement Income Security Act (ERISA) of 1974. On June 20, 2002, the court in this case upheld an Illinois state law which necessitates...

  • Texas Law on Independent Review of HMO Denials to be Reconsidered. Pinkall, Jason D. // Venulex Legal Summaries;2002 Q3, p1 

    The article reports that the U.S. Supreme Court has ordered the Fifth Circuit Court of Appeals to review its decision striking down the Texas Insurance Code provisions allowing patients to seek independent review of the medical necessity determinations of health maintenance organizations. The...

  • N.J. proposes regulations for its HMOs. Schwartz, Matthew P. // National Underwriter / Property & Casualty Risk & Benefits Manag;12/4/95, Vol. 99 Issue 49, p4 

    Reports on New Jersey's proposals for a series of regulations affecting the state's health maintenance organizations (HMO). Features of the proposals; Criticisms of the proposals; Comment by Dale Florio, representative of New Jersey HMO Association; Performance by the HMO market in the state.

  • Baby talk. Burka, Paul // Texas Monthly;Jun96, Vol. 24 Issue 6, p184 

    Reports that health maintenance organizations in Texas are proposing to send newborns home from hospitals within 24 hours of birth. How this policy interferes with present state policy; Why test results are usually inaccurate within the first twenty four hours of life; What tests they perform...

  • Oversight, or overkill? O'Brien, George // BusinessWest;Jun98, Vol. 15 Issue 2, p20 

    Focuses on the bill known as H. 4637, which is defined as `an act to protect consumers in managed care plans,' in the United States. Concern that health maintenance organizations (HMOs) are only interested in profits; Projected impact of the legislation on health insurance premiums; Arguments...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics