If denied, a full explanation of the decision would have to be provided, and appeals would have to be settled within thirty days. These regulations are important because they restore a vital right to the American people, the right to a fair process for resolving problems when benefits have been denied. Control and power must be shared with the people and doctors. It is basically the American way. There must be a system of checks and balances.
Authorization is often unfair.
It is essentially a violation of the Bill of Rights. HMOs are usually in need of profits. All HMOs offer benefits to doctors so they will minimize costly care, even if the care will benefit the patient. The money has to come somewhere, and it is coming from the American public. It is hard to argue for or against the plans, when no two managed care plans are the same.