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Clinton HMO rules draw criticism from industry groups
Washington AP Clinton administration proposes faster claim decisions and expanded patient appeal rights for HMOs, prompting backlash from managed care plans and big employers. Critics say five day review windows and limited exceptions hinder care quality while enabling lawsuits. The rules aim to speed payer decisions and allow expedited appeals without new legislation.
MENTIONED IN THIS ARTICLE
Washington
Clinton
Congress
Meredith Miller
Pension and Welfare Benefits Administration
Labor Department
Miller
Rick Smith
American Association of Health Plans
HMO
Association of Private Pension and Welfare Plans