Cigna Settles with Health Care Providers

2004 ◽  
Vol 32 (1) ◽  
pp. 177-180
Author(s):  
Michael Chu
Keyword(s):  
Health Care ◽  
Managed Care ◽  
Health Care Providers ◽  
Class Action ◽  
Care Providers ◽  
High Quality ◽  
Quality Health Care ◽  
Non Profit ◽  
Quality Health ◽  
High Quality Health Care

On February 2,2004,U.S. District Judge Federico Moreno issued the final order and judgment authorizing a settlement between the HMO CIGNA Healthcare and the physicians who treated patients covered by CIGNA, ending the companys involvement in the larger class action In re Managed Care Litigation, which stil includes eight other HMOs. The settlement, estimated by plaintiffs experts to be worth 1.3 billion, mandates changes in the companys business and disclosure practices, establishes a non-profit foundation dedicated to the promotion of high quality health care, and guarantees at least 70 million in payments to the physicians. Similar in scope to the settlement approved between the physician class and Aetna Healthcare in October 2003,the settlement could potentially set a new standard for transparency and physician involvement in billing practices; however, much depends on the outcome of the remainder of the class action, which is set to go to trial later this year.

scholarly journals Defining high quality health care

2009 ◽  
Vol 27 (4) ◽  
pp. 411-416 ◽  
Author(s):  
Matthew R. Cooperberg ◽  
John D. Birkmeyer ◽  
Mark S. Litwin
Keyword(s):  
Health Care ◽  
High Quality ◽  
Quality Health Care ◽  
Quality Health ◽  
High Quality Health Care

scholarly journals UK National Data Guardian for Health and Care’s Review of Data Security: Trust, better security and opt-outs

2016 ◽  
Vol 23 (3) ◽  
pp. 627 ◽  
Author(s):  
Tom Chan ◽  
Concetta Tania Di Iorio ◽  
Simon De Lusignan ◽  
Daniel Lo Russo ◽  
Craig Kuziemsky ◽  
...  
Keyword(s):  
Health Care ◽  
Data Protection ◽  
Data Security ◽  
Ageing Population ◽  
National Data ◽  
High Quality ◽  
Quality Health Care ◽  
Quality Health ◽  
High Quality Health Care ◽  
The Uk

Sharing health and social care data is essential to the delivery of high quality health care as well as disease surveillance, public health, and for conducting research. However, these societal benefits may be constrained by privacy and data protection principles. Hence, societies are striving to find a balance between the two competing public interests. Whilst the spread of IT advancements in recent decades has increased the demand for an increased privacy and data protection in many ways health is a special case.UK, are adopting guidelines, codes of conduct and regulatory instruments aimed to implement privacy principles into practical settings and enhance public trust. Accordingly, in 2015, the UK National Data Guardian (NDG) requested to conduct a further review of data protection, referred to as Caldicott 3.  The scope of this review is to strengthen data security standards and confidentiality. It also proposes a consent system based on an “opt-out” model rather than on “opt-in.Across Europe as well as internationally the privacy-health data sharing balance is not fixed.  In Europe enactment of the new EU Data Protection Regulation in 2016 constitute a major breakthrough, which is likely to have a profound effect on European countries and beyond.  In Australia and across North America different ways are being sought to balance out these twin requirements of a modern society - to preserve privacy alongside affording high quality health care for an ageing population.  Whilst in the UK privacy legal framework remains complex and fragmented into different layers of legislation, which may negatively impact on both the rights to privacy and health the UK is at the forefront in the uptake of international and EU privacy and data protection principles. And, if the privacy regime were reorganised in a more comprehensive manner, it could be used as a sound implementation model for other countries.

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