State by State Guide to Managed Care Law simplifies and expedites your research by giving you immediate access to key court decisions, state managed care policies and practices, and extensive citations to codes and regulations - for all 50 states. Identify your issue in the index and turn to the page indicated. You'll find current, authoritative information that can help you to:
Evaluate baseline quality standards
Determine when managed care enrollees have access to providers
Establish guidelines for collection and disclosure of financial information
Arm yourself to tackle the complicated issue of prescription drugs
Ensure that the managed care organization recognizes patients' and providers' due process rights
The 2012 State by State Guide to Managed Care Law includes the following new and updated materials:
Coverage of the Patient Protection and Affordable Care Act of 2010 (H.R. 3590) and its potential effect on various state HMO coverage mandates
Updates to administrative requirements for group HMOs for 10 states
Addition of point-of-service option information for West Virginia
Updates to continuity of care requirements for four states
Addition of Kentucky laws on clinical trials coverage
Updates to laws on generic therapeutic substitutions by pharmacists for five states
Addition of Wisconsin law requiring coverage for prescription contraceptives
Updates to laws for 11 states on coverage of drugs and prostheses
Updates to external review requirements for five states