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Clinton to require HMOs to offer appeals process over coverage.(Brief Article)

St. Louis Business Journal

| November 13, 2000 | HOOVER, KENT | COPYRIGHT 1985 American City Business Journals, Inc. (Hide copyright information)Copyright

The Clinton administration plans to require health plans to establish an internal appeals process for people who want to challenge coverage decisions.

President Clinton said he would have preferred this protection be included as part of broader managed care reform legislation, but he felt the need to take executive action due to Congress' failure to pass a Patient's Bill of Rights.

The president asked the Secretary of Labor to issue final regulations this month. In addition to mandating a "fair and unbiased" appeals process, the regulations will require health plans "to make coverage decisions quickly and to provide consumers with reliable information on …

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