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两党患者保护法案:管理式医疗计划承担更大责任。

The Bipartisan Patient Protection Act: greater liability on managed care plans.

作者信息

Mayers Urura W

机构信息

Brunini, Grantham, Grower & Hewes, PLLC, Jackson, Mississippi, USA.

出版信息

Ann Health Law. 2003 Summer;12(2):341-65, table of contents.

Abstract

Mrs. Mayers' article notes the substantial differences that exist between the Senate and the House of Representatives' version of the Bipartisan Patient Protection Act of 2001. While observing the remedies made available to participants, beneficiaries, or enrollees under both bills, she shows that the Senate bill places greater liability on managed care plans because it favors consumer protection, while the House of Representatives' bill does not. In order to develop an understanding of why an act of this nature is needed, Mrs. Mayers provides a brief historical overview of how managed care entities developed. She also examines the Employee Retirement Income Security Act ("ERISA") and proposes amendments to them. She concludes her article by raising an even deeper concern, and that is: what happens to individuals without access to health care coverage.

摘要

迈尔斯夫人的文章指出了2001年两党患者保护法案参议院版本与众议院版本之间存在的重大差异。在审视两项法案为参与者、受益人或参保人提供的补救措施时,她表明参议院法案让管理式医疗计划承担更大责任,因为它更倾向于保护消费者,而众议院法案则不然。为了理解为何需要这样一项法案,迈尔斯夫人简要回顾了管理式医疗实体的发展历程。她还审视了《雇员退休收入保障法》(“ERISA”)并提议对其进行修正。她在文章结尾提出了一个更深层次的担忧,即:那些无法获得医疗保险的个人会怎样。

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