Here in Virginia the Board of Medicine specifically has been going after abuses by insurance companies. Two that they made laws for include:
- Separating products of these insurance companies, whereby if Aetna has a crappy HMO then a physician can join ONLY the PPO and not get barred from the program.
- Forcing all HMO patients to have a PCP from the getgo, not when they get sick. MDIPA was famous for floating patients without PCPs for years, thus not having to pay anyone for the monthly stipend for these well patients.
Alas, those are the only 2 that I can remember (and maybe the only 2 "wins").
Cheers,
Al
