Gag Rules and Trade Secrets in Managed Care Contracts: Ethical and Legal Concerns
Bonham, Vence L.
Archives of Internal Medicine. 1997 Oct 13; 157(18): 2037-2043.
Gag rules-clauses in managed care contracts that prevent physicians from disclosing information that the plan may find disparaging, but that could relate directly to the patient's health-have recently been the subject of ethical condemnation and legislative prohibition. Another serious problem in managed care contracts, trade secrets, or guidelines and quality assurance mechanisms that are imposed on physicians while their origins are shrouded in proprietary secrecy, have by contrast received little attention. Responses to these ethical challenges to the physician's integrity must involve individual physicians, managed care organizations, professional organizations, and public policymakers.
Alternatives; Business Ethics; Confidentiality; Conscience; Contracts; Disclosure; Economics; Education; Ethics; Federal Government; Government; Guideline Adherence; Guidelines; Health; Health Care; Incentives; Industry; Information Dissemination; Legal Aspects; Managed Care Programs; Medical Ethics; Managed Care; Organizations; Patient Advocacy; Patient Education; Peer Review; Physicians; Practice Guidelines; Professional Organizations; Quality of Health Care; Quality Assurance; Review; Standards; State Government;
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