I read about healthcare quite a bit, rarely find something I have not seen before.
Like the task-force draft, a Republican bill could give new nonprofit or employer-sponsored alliances the explicit task of verifying that a health plan’s contractually specified rights and obligations are (1) “such as might reasonably be agreed to by an informed, value-conscious consumer” and (2) “adequately specified in the contract” by: (a) reference to responsibly developed “clinical practice guidelines;” or (b) “general language altering [conventional] legal and professional standards;” or (c) identifying a disinterested arbiter to deal with ambiguous situations. The task force also negotiated a final clause providing strong assurance that no patient could be denied any significant, verified benefit of medical science.
http://www.realclearpolicy.com/articles/2017/06/25/the_missing_key_to_market-based_health_reform_110281.html
Like the task-force draft, a Republican bill could give new nonprofit or employer-sponsored alliances the explicit task of verifying that a health plan’s contractually specified rights and obligations are (1) “such as might reasonably be agreed to by an informed, value-conscious consumer” and (2) “adequately specified in the contract” by: (a) reference to responsibly developed “clinical practice guidelines;” or (b) “general language altering [conventional] legal and professional standards;” or (c) identifying a disinterested arbiter to deal with ambiguous situations. The task force also negotiated a final clause providing strong assurance that no patient could be denied any significant, verified benefit of medical science.
http://www.realclearpolicy.com/articles/2017/06/25/the_missing_key_to_market-based_health_reform_110281.html
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