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3d Circuit: HMO Had No Duty to Disclose Physician Cost Incentives to Health Plan Participants (PDF)
U.S. Court of Appeals for the Third Circuit 
[Opinion] July 14, 2003 21 pages. Excerpt: [HMOs] routinely utilize financial incentives to encourage physicians to ration care in a cost-effective manner. This case presents the question whether, when the existence of such a plan has been disclosed, [ERISA] requires HMOs automatically to disclose further information on these incentives to plan beneficiaries. [Horvath v. Keystone Health Plan East, No. 02-1731 (3d Cir. Jun. 23, 2003)] MORE >> |
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