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When Curing Health Care Costs Creates Liability

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Author
Nielson, Norma
Mukatis, W. A.
Accessioned
2010-12-10T21:07:03Z
Available
2010-12-10T21:07:03Z
Issued
1988
Other
Litigation
Liability
Health care expenditures
Health care delivery
Employers
Employee benefits
Court decisions
Cost control
Subject
Risk management
Negligence
Type
journal article
Metadata
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Abstract
In Wickline versus State of California (1986), the jury held that third-party payors of health care services can be held legally accountable when medically inappropriate decisions result from faulty design or implementation of cost-containment mechanisms. A key element in determining potential liability is establishing whether medical personnel are either corporate agents/employees or independent contractors. When the employer hires medical personnel, potential liability is the greatest. Even without direct hiring, courts may hold that cost control is sufficient to establish a master-servant relationship or that employee perceptions of an employer's closeness to the medical decision making warrants the finding of liability under the theory of apparent authority. The use of an independent trust to select medical care might insulate the employer from liability, but any direct benefit might posit a case for vicarious liability.
Refereed
Yes
Permission granted Nov. 29, 2010. “Reprinted with permission Risk Management Magazine, Copyright 1988 Risk and Insurance Management Society, Inc. All rights reserved.”
 
Citation
Nielson, N. L. and W. A. Mukatis. "When Curing Health Care Costs Creates Liability." Risk Management. Volume 35, No. 1. (January 1988) pp. 34-41.
Corporate
University of Calgary
Faculty
Haskayne School of Business
Url
http://www.rmmagazine.com/MGTemplate.cfm?Section=Permissions&NavMenuID=388
Publisher
Risk and Insurance Management Society Inc.
Doi
http://dx.doi.org/10.11575/PRISM/34030
Uri
http://hdl.handle.net/1880/48298
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  • Haskayne School of Business Research & Publications

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