| PRESENTER: |
Joseph
L. Romano, Esquire |
| SUBJECT: |
In-Service
Presentation |
| WHEN: |
Thursday, September
10, 1998 |
| WHERE: |
Las
Vegas, NV |
- What is managed care for the spinal
cord injured - Is it managed care... or managed money?
- Managed care: The role of managed
care in allocating resources for spinal cord injured individuals
and their families
- Who controls treatment decisions?
Spinal cord injured patient, managed care health insurance companies
and their agents, rehab nurses, peer reviewers, doctors, and pre-certification
personnel?
- How do patients, patient advocates,
spinal cord injury nurses, and health care providers, obtain the
information to define the health insurance benefits available
in a managed care setting?
- Roadblocks erected by health insurers
and the government to deny or limit coverage for the spinal cord
injury population
- What are the keys to unlocking the
gatekeeper's door to access funding for the spinal cord injured
and their families?
- Medical records - confidentiality
- information or access?
- Ethical dilemmas: Does a failure
by spinal cord injury nurses to act as patient advocates in identifying
funding promote quality outcomes?
- Is the Hippocratic Oath being replaced
by a loyalty oath to managed care insurers?
|
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