• CASE MODEL: Insurance Contract Capitulation Dilemma  

The dilemma that a medical provider will have to consider when facing the adverse effects of an Hold Harmless Clause is the prospective detriment to his/her practice if he/she does not capitulate to the managed care company’s demand to provide indemnification for a settled malpractice case. The provider has the option to fight the issue in court. But, this is not really a choice; it is a false or Hobson’s Choice.

In some cases, the provider may prevail, but it is likely to be a futile and expensive effort in most scenarios. In any event, if the provider does not indemnify the managed care company, most likely, he/she will find himself/herself de-selected from the panel. Such a de-selection is likely to create a domino effect of de-selection from other panels. Such events could destroy the medical provider’s practice.

-Anonymous Physician/Attorney

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• EXAMPLE: Adolf Meyer lecture the future of psychiatry-A Hobson’s choice?
• http://rd.springer.com/article/10.1007/BF01573005?no-access=true
• EXAMPLE: Glucocorticoid Therapy for Duchenne Cardiomyopathy: A Hobson’s Choice?
• http://jaha.ahajournals.org/content/4/4/e001896.full
• EXAMPLE: Hobson’s choice: The new ACR Practice Guideline for Communication
• http://appliedradiology.com/articles/hobsons-choice-the-new-acr-practice-guideline-for-communication
• EXAMPLE: Hobson’s Choice: HIPAA Audit – Compliance Helper
• EXAMPLE: Glucocorticoid Therapy for Duchenne Cardiomyopathy: A Hobson’s Choice?
• http://hyper.ahajournals.org/cgi/collection/other_heart_failure?notjournal=ahajournals
• EXAMPLE: Hobson’s choice in the cns radioprophylaxis of small cell lung cancer
• http://www.redjournal.org/article/0360-3016(88)90328-8/references
• EXAMPLE: Letters of Protection- A Hobson’s Choice for Patient, Doctor and Attorney A Personal Injury Lawyer/ Medical Practice Owner’s Perspective.
• http://www.jdsupra.com/legalnews/letters-of-protection-a-hobsons-choice-81281/

SUBMISSIONS

Please leave comments or submit stories, professional experiences or anecdotes about your own Hobsonian Choices as a medical provider [MD, DPM, DDS, DO, MBBS, RN, PT, OD; etc]; right here.

• Public: https://hobsonschoicemedicine.wordpress.com/
• Private: MarcinkoAdvisors@msn.com

Note: E-mail submissions may be named, or anonymous. OR; you may use the survey form below.