Today there are many organizations engaged in the managed care evaluation process. While different groups have different grievances with managed care and with particular MCOs, many share the desire to make managed care more responsive to consumer demand and to legal control. No one should suggest that if people with disabilities get AT, senior citizens would have to go without prescription drugs in order to make up the cost. Legal resources can be helpful. The recent involvement of the American Bar Association in the provision of free legal assistance to children recently cut from the SSI roles suggests a number of important possibilities for their future involvement.
Attorneys can help as well.
A call from an attorney to the proper insurance organization official can lead to a satisfactory resolution in a particular case. Many of these organizations will resolve the matter, once persuaded that your threats of legal action and of publicity are credible. Not all policies or practices that could be regulated are in fact regulated. You may run into issues that fall under the jurisdiction of state law, but about which that law has nothing to say. A presidential commission on the quality of health care has recently recommended adoption of Health Care Consumers' Bill of Rights legislation.