When the payer says "no!": Ethical considerations in patient advocacy

Journal of Spinal Cord Medicine

Volumn 24, Issue 4, 2001, Pages 230-234

  Banja, John D ^a,b  

^a EMORY UNIVERSITY   (United States)

^b Center for Ethics Humanities and Palliative Care   (United States)

Author keywords

Advocacy; Ethics; Health insurance; Managed care; Reimbursement

Indexed keywords

DEEP VEIN THROMBOSIS; ETHICS; HEALTH CARE; HEALTH CARE POLICY; HEALTH INSURANCE; HUMAN; REVIEW; SPINAL CORD INJURY; UPPER RESPIRATORY TRACT INFECTION; URINARY TRACT INFECTION; ARTICLE; INSURANCE; LEGAL ASPECT; MEDICAL ETHICS; PATIENT ADVOCACY; UNITED STATES;

ETHICS, MEDICAL; HUMANS; INSURANCE CLAIM REVIEW; INSURANCE COVERAGE; MANAGED CARE PROGRAMS; PATIENT ADVOCACY; SPINAL CORD INJURIES; UNITED STATES;

EID: 0035755590     PISSN: 10790268     EISSN: None     Source Type: Journal    
DOI: 10.1080/10790268.2001.11753579     Document Type: Review

References (14)

1. Overbay A, Hall M. Insurance regulation of providers that bear risk. Am J Law Med. 1996;22:361-387.
2. Anders G. Health Against Wealth. New York, NY: Houghton, Mifflin and Company; 1996.
3. Peskowitz B. The insurance contract. In: The Health Insurance Association of America, ed. Fundamentals of Health Insurance, Part A. Washington, DC: Health Insurance Association of America; 1997:91-118.
4. Greene MR, Trieschmann JS. Risk and Insurance. 5th Ed. Cincinnati, Ohio: South-Western Publishing; 1981.
5. Daniels N. Just Health Care. Cambridge, UK: Cambridge University Press; 1985.
6. DeJong G, Sutton J. Managed care and catastrophic injury: the case of spinal cord injury. Top Spinal Cord Inj Rehabil. 1998;3:1-16.
7. Banja J. The improbable future of employer-based insurance. Hastings Cent Rep. 2000;30:17-25.
8. DeLisa JA, Kirshblum S. A review: frustrations and needs in clinical care of spinal cord injury patients. J Spinal Cord Med. 1997;20:384-390.
9. Meyers AR, Bisbee A, Winter M. The "Boston Model" of managed care and spinal cord injury: a cross-sectional study of the outcomes of risk-based, prepaid, managed care. Arch Phys Med Rehabil. 1999;80:1450-1456.
10. Kassirer JP. The use and abuse of practice profiles. N Engl J Med. 1994;330:634-635.
11. Becker BE, DeLisa JA. Model spinal cord injury system trends, and implications for the future. Arch Phys Med Rehabil. 1999;80:1514-1521.
12. Batavia AI. Of wheelchairs and managed care. Health Aff. 1999;18:177-182.
13. Rodwin MA. Consumer protection and managed care: issues, reform proposals, and trade-offs. Houston Law Rev. 1996;32:1319-1381.
14. Banja JD, DeJong G. The rehabilitation marketplace: economics, values, and proposals for reform. Arch Phys Med Rehabil. 2000;81:233-240.