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Consumer Watchdog

Healthcare

Docs’ insurance fight heats up

Docs’ insurance fight heats up

<p class="source">Modern Healthcare</p> <p>Two volleys were fired last week in the growing battle over malpractice insurance premiums, which is either a looming national crisis or a public-relations scam orchestrated by physicians, depending on the diametrically opposed arguments.</p>
Health agency rejects ruling

Health agency rejects ruling

<h3>The managed-care chief says no to a judge's slashing of a fine against Kaiser.</h3><p class="source">The Sacramento Bee</p> <p>A legal battle over patient rights that began six years ago with a death at a Kaiser hospital took a new turn Thursday when state regulators rejected a court ruling they say undercuts their ability to guarantee California's 18 million HMO members timely</p>
State HMO regulators lose round in dispute with Kaiser

State HMO regulators lose round in dispute with Kaiser

<p class="source">Associated Press</p> <p>An administrative law judge sided with Kaiser Foundation Health Plan Thursday in a dispute with the state Department of Managed Health Care that tests the authority of the 3-year-old department. The state rejected the ruling, said Director Daniel Zingale</p>
Phone clerks rewarded for limiting MD visits

Phone clerks rewarded for limiting MD visits

<h3>Bonuses for keeping patient calls brief</h3><p class="source">Toronto Star</p> <p>Telephone clerks at California's largest HMO received bonuses for keeping calls with patients brief and limiting the number of doctor visits they agreed to set up.</p>
Kaiser Clerks Paid More for Helping Less

Kaiser Clerks Paid More for Helping Less

<h3>Bonuses were given for limiting members' calls and doctor's appointments. HMO defends program but has dropped it.</h3><p class="source">The Los Angeles Times</p> <p>Kaiser Permanente, the state's largest HMO, until recently had awarded financial bonuses to call center clerks who spent the least amount of time on the phone with each patient and limited the number of doctors' appointments, internal documents show.</p>
Insurance: You Pay, They Bait and Switch;

Insurance: You Pay, They Bait and Switch;

<h3>Health-care plans are beginning to feel like scams in California.</h3><p class="source">The Los Angeles Times</p> <p>The revelation that health insurers will be levying surcharges of as much as $400 per day for the best hospitals shows the degree to which insurance is fast becoming a bait-and-switch scam.</p>
Loosening their grip;

Loosening their grip;

<h3>As HMOs' popularity continues to erode, more plans turn to less-restrictive rules. But with costs rising, what's next?</h3><p class="source">Modern Healthcare</p> <p>It has been two years since UnitedHealth Group essentially ripped up the managed-care rule book by shedding its preapproval requirements and granting doctors final say over how they treat their patients.</p>
Face-Off in Assembly Over Health-Care ADR

Face-Off in Assembly Over Health-Care ADR

<h3>While Kaiser defends mandatory arbitration to lawmakers, attorneys and nurses disagree.</h3><p class="source">Daily Journal</p> <p>Consumer advocates urged members of two state legislative committees Tuesday to pass legislation banning mandatory arbitration in health care disputes, contending it is unfair and biased against patients.</p>