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Managed Care Ethical Considerations
By Render S. Davis; MHA, CHE
In contemporary medicine, and managed care, ethical dilemmas in communications are increasingly common and may come in many different forms. For example:
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Physician’s failing to communicate necessary clinical information to patients in terms and language the patients can truly understand;
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Physicians’ offering only limited treatment choices to patients because alternatives may not be covered by the patient’s insurance plan;
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Failures to disclose financial incentives and other payment arrangements that may influence the physician’s treatment recommendations;
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Time constraints that limit opportunities for in-depth discussions between patients and their doctors; and,
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The lack of a continuing relationship between the patient and physician that would foster open communications; etc.
Assessment
Most so-called “gag clauses,” implemented by some managed care organizations to prohibit physicians from informing their patients about non-covered treatment alternatives have been declared illegal in most states. Nevertheless, does the physician’s duty to be fully truthful and informative in patient communications, remain under suspicion? Please opine with your experiences and how we might improve.
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- FINANCE: Financial Planning for Physicians and Advisors
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- Dictionary of Health Economics and Finance
- Dictionary of Health Information Technology and Security
- Dictionary of Health Insurance and Managed Care
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