The role of U.S. corporations as buyers of health insurance for their employees has changed dramatically over the past several decades from a passive position to aggressive buying and policy roles. Transformation caused customers to question the correctness of the statements of health benefits for legal, ethical and financial reasons. Recent studies on the role of "medical necessity" in California managed care decision-making reveals a number of problems faced by customers and describes the solutions recommended by some buyers of these issues. "Hide
by Linda Bergthold, Suzanne Olson Koebler, Sara J. Singer Source: California Management Review 17 pages. Publication Date: 01 Oct 2000. Prod. #: CMR185-PDF-ENG