An Assessment of Legal Issues Raised in “ High Performing ” Health Plan Quality and Efficiency Tiering Arrangements : Can the Patient Be


A rarity as few as 25 years ago, physician networks are now the norm in health insurance coverage and health benefit service plans. In 2006, only 7 percent of all employers offered a “conventional” plan, that is, a plan whose terms of coverage are not tied to a provider network; at 54 percent, preferred provider organizations (PPOs) represented the most… (More)


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