Yes, without cause. So, while the managed care companies can control provider income and drive some to bankruptcy, the chief executive officers make incredible salaries. The businessmen and women get rich at the patients expense as well as the doctors. This is what the corporatization of health care has achieved in a few short years. Some savings may come from cream-skimming.
Sick patients are willing to pay for the right to see the doctor of their choice.
The primary mechanism is to deny care. For the sake of patients, it is our duty to work to change the present structure of managed care. I hope all state associations adopt this as well. Minnesota is a state with high HMO penetration. How can they when little research has been done on outcomes.