Independent medical review: expanding legal remedies to achieve managed care accountability.
Independent medical review: expanding legal remedies to achieve managed care accountability.
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独立医疗审查：扩大法律补救措施以实现管理式医疗问责制。
DOI：
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发表时间：
2004
期刊：
影响因子：
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通讯作者：
Leatrice Berman
中科院分区：
文献类型：
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作者：
Leatrice Berman
作者Leatrice Berman-Sandler报道了独立医疗审查（IMR），这是一种基于州的法定补救措施，用于解决患者及其健康计划之间的保险纠纷。Berman-Sandler女士探讨了ERISA优先权与IMR之间的联系，并认为，根据最高法院最近的裁决，扩大IMR的阶段已经确定。因此，Berman-Sandler女士得出结论，州立法机构有充分的法律的理由扩大IMR的适用范围，法院有充分的政策理由继续缩小ERISA的优先权范围，以加强管理式医疗竞技场的问责制。
Author Leatrice Berman-Sandler reports on independent medical review (IMR), a state-based statutory remedy used to resolve disputes over coverage between patients and their health plans. Ms. Berman-Sandler explores the connection between ERISA preemption and IMR, and opines that in light of recent Supreme Court decisions, the stage has been set for expansion of IMR. Accordingly, Ms. Berman-Sandler concludes that there are strong legal and policy reasons for state legislatures to broaden the application of IMR and for the Court to continue to narrow ERISA preemption in order to increase accountability in the managed care arena.