Search Result(s)

The Practical Utility of (physician) GAG CLAUSE legislation. (1998)

"State legislatures and the U.S. Congress are currently engaged in efforts to prohibit “gag” clauses in physician contracts.1, 2 These clauses, promulgated by managed care organizations (MCOs) and other such health plans, prohibit physicians from frankly discussing all treatment options, covered or uncovered, expensive or inexpensive, that could be of benefit to the patient. For example, one clause reads: “Do NOT discuss proposed treatments with [health plan] members prior to receiving authorization. Do NOT discuss the [utilization oversight] process with members. Do NOT give out [plan's oversight] phone number to members.”"