When the HMO says No

Rice, Berkeley
May 2002
Medical Economics;5/10/2002, Vol. 79 Issue 9, p43
Trade Publication
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 Debra Moran against Rush Prudential; Basis of the decision of Rush Prudential in denying Moran a microneurolysis; Right of patients under the Employee Retirement Income Security Act.


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