-
- E Hansen.
- Managed Liability Associates, Washington, DC, USA.
- Manag Care Interface. 2000 Sep 1; 13 (9): 84-6.
AbstractThe U.S. Supreme Court's holding in Pegram v. Herdrich--that decisions by an HMO's physician employees in which eligibility issues and reasonable medical treatment are inextricably mixed are not fiduciary acts under the Employee Retirement Income Security Act (ERISA)--was applauded by the managed care industry. By delineating issues on which it was not ruling, however, the Court's decision may have given a boost to additional lawsuits against managed care plans on both ERISA and malpractice grounds.
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