{
  "id": "RL30077",
  "type": "CRS Report",
  "typeId": "REPORTS",
  "number": "RL30077",
  "active": false,
  "source": "EveryCRSReport.com",
  "versions": [
    {
      "source": "EveryCRSReport.com",
      "id": 101222,
      "date": "1999-03-01",
      "retrieved": "2016-05-24T20:46:35.881941",
      "title": "Managed Care: Recent Proposals for New Grievance and Appeals Procedures",
      "summary": "Because managed care is premised on notions of cost and the ability to control the utilization of\nhealth care services, many fear that decisions involving access to treatment and reimbursement are\nmade improperly; that the cost of treatment plays an increasingly important role in the decision-\nmaking process. Concern over decision-making and treatment costs has prompted greater attention\nto the rights of participants to appeal denials of treatment and to file grievances about other plan\ndecisions. Some believe that improved grievance and appeal rights would not only empower\npatients, but enhance access to treatment and improve the quality of care provided. Others, including\nthe managed care industry, contend that new requirements are likely to disrupt existing appeals\nsystems that already work well.\n  As the 106th Congress considers enacting legislation for improved grievance and appeals\nprocedures, it may review various recent proposals for guidance. This report will discuss the work\nof the President's Advisory Commission on Consumer Protection and Quality in the Health Care\nIndustry, legislative proposals, and proposed regulations of the Department of Labor.",
      "type": "CRS Report",
      "typeId": "REPORTS",
      "active": false,
      "formats": [
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          "format": "PDF",
          "encoding": null,
          "url": "http://www.crs.gov/Reports/pdf/RL30077",
          "sha1": "f7df7b31ee5c0cc24ed5b97c78b8ddacd5d9f24a",
          "filename": "files/19990301_RL30077_f7df7b31ee5c0cc24ed5b97c78b8ddacd5d9f24a.pdf",
          "images": null
        },
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          "filename": "files/19990301_RL30077_f7df7b31ee5c0cc24ed5b97c78b8ddacd5d9f24a.html"
        }
      ],
      "topics": []
    }
  ],
  "topics": [
    "American Law",
    "Domestic Social Policy"
  ]
}