Physicians win lawsuits over inadequate PMPM rates.

Capitation management report Pub Date : 2004-01-01
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Abstract

When capitated doctors are sued for non-referral to specialists, typical charges include that the capped network's PMPM rates served as a disincentive to refer. So far none of the charges have prevailed. Physicians also are winning lawsuits alleging inadequate capitation rates from HMOs.

医生赢得诉讼,以不适当的PMPM费率。
当有资格的医生因不转诊给专家而被起诉时,典型的指控包括,有上限的医疗网络的PMPM费率抑制了转诊的积极性。到目前为止,这些指控都没有成立。医生们还赢得了诉讼,指控hmo的人均费率不足。
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