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Soaring healthcare costs are turning the heat up on disputes between health care providers and insurers, says Hon. P. Oswin ("Os") Chrisman (Ret.) and Cecilia H. Morgan, Esq., both mediators and arbitrators with ADR provider JAMS, The Resolution Experts, in Dallas. "Within the health care industry, fingers are pointing in every which way to explain rising costs. There is a lot of stress on the system and a lot of tension being felt from all sides," Chrisman says. "Doctors point at insurers, as reimbursements are shrinking and denials on coverage have jumped in recent months." It's been five years since 700,000 physicians and state medical groups sued the largest insurers in Texas, claiming they had intentionally obstructed delayed and denied payments and reimbursements to providers. Some individual settlements reached are set to expire this year, and more confrontations may be set to ignite, says Morgan. "Mediation is an approach that can limit the costly courtroom battle and instill proper safeguards to alleviate the pressures for the parties. Taking an early mediation approach is the best route for doctors and insurers alike," she says. Ms. Morgan and Judge Chrisman are available to discuss and write on what every doctor should know when using mediation to address disputes in the healthcare industry. Judge Chrisman served for 13 years in the district courts of Dallas, and was Past Chair of: the Texas Institute of Health Research; Baylor Health Care Systems, Inc.; Baylor University Medical System; and the Mental Health Associations of Dallas County and Texas. Cecilia Morgan, Esq. is a former commercial litigator and frequently resolves healthcare disputes. [08/21/2008]
Channel: Jaffe Legal News Service - Articles for Publication
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