ERISA litigation and physician autonomy

JAMA

Volumn 283, Issue 7, 2000, Pages 921-926

  Jacobson, Peter D ^a   Pomfret, Scott D ^b  

^a UNIVERSITY OF MICHIGAN SCHOOL OF PUBLIC HEALTH   (United States)

^b Ropes and Gray   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

COST CONTROL; HEALTH CARE DELIVERY; HEALTH INSURANCE; LAW; LAW SUIT; LEGAL LIABILITY; MANAGED CARE; MEDICAL DECISION MAKING; MEDICAL PRACTICE; PENSION; PRIORITY JOURNAL; REIMBURSEMENT; RETIREMENT; REVIEW; UTILIZATION REVIEW;

EID: 0034673169     PISSN: 00987484     EISSN: None     Source Type: Journal    
DOI: 10.1001/jama.283.7.921     Document Type: Review

References (50)

1. Hearings Before the Senate Committee on Labor, and Human Resources. 105th Congress, 2nd session (1998) (testimony of Meredith Miller, Deputy Assistant Secretary, Pension and Welfare Benefits Administration).
2. Gostin LO. What's wrong with the ERISA vacuum? employers' freedom to limit health care coverage provided by risk retention plans. JAMA. 1993;269:2527-2532.
3. Mariner WK. State regulation of managed care and the Employee Retirement Income Security Act. N Engl J Med. 1996;335:1986-1989.
4. Chirba-Martin MA, Brennan TA. The critical role of ERISA in state health reform. Health Aff (Millwood). 1994;13:142-156.
5. Jacobson PD. Legal challenges to managed care cost containment initiatives: an initial assessment. Health Aff (Millwood). 1999;18:69-85.
6. Senate Subcommittee on Labor of the Committee on Labor and Public Welfare. Legislative History of the Employee Retirement Income Security Act of 1974. Washington, DC: US Government Printing Office; 1976:3456.
7. Employee Retirement Income Security Act of 1974, 29 USCA §1021-1031 (1999).
8. Employee Retirement Income Security Act of 1974, 29 USCA §1051-1061 (1999).
9. Employee Retirement Income Security Act of 1974, 29 USCA §1081-1086 (1999).
10. Employee Retirement Income Security Act of 1974, 29 USCA §1101-1114 (1999).
11. Nealy v US Healthcare Inc. 711 NE2d 621 (NY 1999).
12. Jordan KA. Travelers Insurance: new support for the argument to restrain ERISA preemption. Yale J Regulation. 1996;13:255-336.
13. Jacobson PD, Pomfret SD. Form, function, and managed care torts: achieving fairness and equity in ERISA jurisprudence. Houston Law Rev. 1998;35:985-1078.
14. Moreno v Health Partners Health Plan, 4 F Supp 2d 888 (D Ariz 1998).
15. Employee Retirement Income Security Act of 1974, 29 USCA §1132 (1999).
16. McEvoy v Group Health Cooperative of Eau Claire, 570 NW2d 397 (Wis 1997).
17. Employee Retirement Income Security Act of 1974, 29 USCA §1104 (a)(1) (1999).
18. Kyle Railways Inc v Pacific Administration Services, 990 F2d 513 (9th Cir 1993).
19. Reilly v Blue Cross and Blue Shield United of Wisconsin, 846 F2d 416 (7th Cir 1988).
20. Curtiss-Wright Corp v Schoonejongen, 115 SCt 1223, 1228 (1995).
21. Maltz v Aetna Health Plans of New York, 114 F3d 9, 12 (2d Cir 1997).
22. Firestone Tire & Rubber Co v Bruch, 489 US 101 (1989).
23. McGraw v Prudential Insurance Co, 1998 WL 96849 (10th Cir 1998).
24. Morreim EH. Benefits decisions in ERISA plans: diminishing deference to fiduciaries and an emerging problem for provider-sponsored organizations. University of Tennessee Law Rev. 1998;65:511-553.
25. England v John Alden Life Insurance Co, 846 F Supp 798, 801 (WD Mo 1994).
26. Killian v Healthsource Provident Administrators Inc, 152 F3d 514 (6th Cir 1998).
27. Boyd v Albert Einstein Medical Center, 547 A2d 1229 (Pa Super 1988).
28. Petrovich v Share Health Plan of Illinois Inc, 188 Ill 2d 17 (1999).
29. Andrews-Clarke v Travelers Insurance Co, 1997 WL 677932 (D Mass 1997).
30. New York State Conference of Blue Cross and Blue Shield Plans v Travelers Insurance Co, 514 US 645 (1995).
31. Bauman v US Healthcare Inc, 193 F3d 151 (3rd Cir 1999).
32. Freudenheim M. Big HMO to give decisions on care back to doctors. New York Times. November 9, 1999:A1.
33. Ince v Healthsource Arkansas Inc, 1997 WL 591117 (ED Ark 1997).
34. Pomfret SD. Emerging theories of liability for utilization review under ERISA health plans. Tort Insurance Law J. 1998;34:131-166.
35. Wilson v State of California, 271 Cal Rptr 876 (Calif 1990).
36. Long v Great West Life & Annuity Insurance Co, 957 P2d 823 (Wyo 1998).
37. Danca v Private Health Care Systems Inc, WL 552604 (1st Cir 1999).
38. Tolton v American Biodyne Inc, 48 F3d 937 (6th Cir 1995).
39. Corcoran v United Health Care Inc, F2d 1321 (5th Cir. 1992).
40. Tex Civ Prac & Rem Code Ann, The Health Care Liability Act, §§ 88.001-88.003.
41. Corporate Health Ins Inc v Texas Department of Insurance, 12 F Supp 2d 597 (SD Tex 1998).
42. Blue Cross and Blue Shield v St Mary's Hospital, 426 SE2d 117 (1993).
43. Texas Pharmacy Association v Prudential Insurance Co of America, 105 F3d 1035, 1039 (5th Cir 1997).
44. Paul v Humana Medical Plan Inc, 682 So2d 1119 (Fla 1996).
45. Lancaster v Kaiser Foundation Health Plan of Mid-Atlantic States Inc, WL 174182 (ED Va 1997).
46. Oulette v The Christ Hospital, 942-154F Supp 1160 (SD Ohio 1996).
47. Herdrich v Pegram, F3d 362 (7th Cir 1998).
48. Herdrich v Pegram, 170 F3d 683 (7th Cir 1999), dissenting opinion.
49. Hall MA. Institutional control of physician behavior: legal barriers to health care cost containment. University of Pennsylvania Law Review. 1998;137:431-536.
50. Light D, Levine S. The changing character of the medical profession: a theoretical overview. Milbank Q. 1998;66(suppl 2):10-32.