Lutes M E
Epstein, Becker and Green, Washington, DC.
Physician Exec. 1993 Nov-Dec;19(6):30-5.
Law is intimately related to economics. As the economic relationships in a market change, the legal landscape evolves accordingly. Even if no health care reform is enacted at the federal level, ever-increasing portions of today's managed indemnity sector will convert to plans constraining enrollee choice and seeking to deliver cost-effective care through risk-sharing relationships (both corporate and contractual) with providers. This is inevitable, given employer and federal government pricing demands, and it is changing the face of health care law. If federal reform is enacted and/or the systems adopted in Minnesota, Maryland, Washington, and Florida (to name a few) are replicated elsewhere, the legal concerns of physicians and other providers will shift even more dramatically. In this article, some of the legal fall-out from these economic developments is discussed.
法律与经济密切相关。随着市场中经济关系的变化，法律格局也相应演变。即使联邦层面未颁布医疗保健改革法案，当今管理式赔偿部门中越来越大的部分也将转变为限制参保人选择，并试图通过与医疗服务提供者建立（公司和合同）风险分担关系来提供具有成本效益的医疗服务的计划。鉴于雇主和联邦政府的定价要求，这是不可避免的，而且它正在改变医疗保健法律的面貌。如果联邦改革得以颁布和/或明尼苏达州、马里兰州、华盛顿州和佛罗里达州（仅举几例）所采用的体系在其他地方得到复制，医生和其他医疗服务提供者的法律担忧将发生更为巨大的转变。本文将探讨这些经济发展带来的一些法律影响。
