Arizona Nixes Doc Incentives, OKs Plan Liability


The publicity given to the Texas attorney general's agreement with Aetna overshadowed a more sweeping edict in Arizona regarding financial incentives to physicians.

A new state law taking effect this summer forbids plans from offering financial incentives to limit or delay care. The bill also gives members the right to sue health plans found responsible for causing patients substantial harm because of denials or delays of covered treatment.

Concerned that the bill would lead to higher health premiums, Gov. Jane Hull let it become law without her signature.

In another state-level development, Washington insurers that had stopped selling new individual policies because of the risk will again offer coverage, thanks to a law that allows them to raise premiums without state approval. Already, Premera Blue Cross has raised rates 24 percent for people who pay for their own coverage. The new law allows insurers to stratify patients by health risk and set rates accordingly.

Career Opportunities

HAP, a subsidiary of Henry Ford Health System, is a nonprofit health plan providing coverage to individuals, companies and organizations. This executive develops strategies to meet membership and revenue targets through products, pricing, market segmentation and advertising.  Aligns business among Business Development, Commercial Sales, Medicare and Public Sector Programs and Product Development. Seeks to enhance and be responsible for business development and expansion through the development of an effective product portfolio, strong interpersonal relationships and service excellence.

Apply via email to jfedder1@hfhs.org or online at http://p.rfer.us/HENRYFORDlXqAJA

Subscribe to Our Newsletters

Monthly table of contents

Be notified as each issue of Managed Care is available online.

Biweekly newsletter

Recent topics have included:

PTCommunity news

New drug approvals, clinical trials, drug management. Three times per week.