New York's highest court of appeals has held that no-fault insurers cannot deny no-fault benefits where they unilaterally determine that a provider has committed misconduct based upon alleged fraudulent conduct. The Court held that this authority belongs solely to state regulators, specifically New York's Board of Regents, which oversees professional licensing and discipline. This follows a similar recent ruling in Florida reported in this publication.
I.Q. -- Interesting Quotes
Chiropractic Clout
As hospitals, insurance carriers, managed care organizations, other health care providers, and even venture capitalists are scrutinizing the chiropractic profession, they eventually discover our extensive patient database. While they may never become proponents of chiropractic care, they may be starting to see the chiropractic profession as the key to a new source of potential patients.
A statement made in a recent issue of The Back Letter1 acknowledges this reality:
"With an estimated patient base of 10-20 million Americans, chiropractors wield considerable economic power."Cost-effectiveness and efficacy are more important than ever, and as health care reform continues, economic issues will more than likely continue to override philosophical biases and barriers.
1. U.S. hospitals granting clinical privileges to chiropractors in record numbers, The Back Letter, 1995 (5):51.