Public Health Law Map - Beta 5 - Medical and Public Health Law Site

Color
1—pink
2—pale extremities or acrocyanosis
3—pale, cyanotic, mottled or ashen
Hydration
1—normal skin and eyes, moist mucous membranes
2—normal skin and eyes, slightly dry mouth
3—doughy or tented skin, dry mucous membranes and/or sunken eyes
Response (Talk, Smile) to Social Overtures, Over 2 Months
1—smiles or alerts
2—smiles briefly or alerts briefly
3—no smile, anxious face, dull expression, or does not alert
XIII. Team Care and Managed Care
HIGHLIGHTS
Introduction
The physician–patient relationship is a fiduciary relationship.
Managed care creates profound conflicts of interest between medical care
practitioners and patients.
The law of the physician–patient relationship does not change in managed care.
Most states require nonphysician practitioners to be supervised by physicians.
Physician medical directors face special legal risks.
Managed care poses new business risks to medical care practitioners.
The most legally significant change in medical practice over the last twenty years has
been the corporatization of medical care services. This has accelerated in the last ten
years with the growing dominance of managed care organizations (MCOs). In this book,
an MCO is any organization with a financial interest in medical care delivered to a group
of patients and that contracts with medical care practitioners for the delivery of medical
care and exercises some control over that medical care. These range from closed-panel
health maintenance organizations (HMOs) with all employee physicians, to loosely
structured preferred provider organizations (PPOs), and include hospital- owned
physician’s practices and other arrangements with noninsurers who nonetheless have a
financial interest in the medical care that the medical care practitioners deliver.
381