| PRESENTER: |
Joseph
L. Romano, Esquire |
| SUBJECT: |
Symposium
Presentation |
| WHEN: |
Thursday, April 10, 1997 - 9:00
AM |
- What is managed care? Is it managed care...Or
managed money?
- Reserving or escrowing funds
- Capitation - "covered lives"
- The role of case management and managed care
in allocating health resources
- Who controls treatment decisions: patients,
the managed care insurance companies and their agents, rehab nurses,
case managers, peer reviewers, doctors, and pre-certification
personnel?
- Inherent legal conflicts in case management
for practicing professionals
- Inherent legal conflicts in case management
and informed consent
- Release of medical information - confidentiality
- information or access?
- What is negligence as it applies to risk
management for practicing professionals?
- Managed care theories of liability
- Wickline theory of liability: Wickline clearly
recognizes that the duty of care exists with respect to utilization
review decisions and patients
- Practical advice to avoid "Wickline
liability"
- Liability in a managed care setting
- Legal quicksand in managed care and cost
containment
- Devices used by the managed care and cost
containment
- Practical advice and suggestions
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