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Taking the pulse of managed medicine

July 28, 2001

Tim Willert

SOUTHWEST GLENDALE -- The director of the California Department of

Managed Health Care was among a slate of health officials who attended a

round-table discussion Friday at Glendale Memorial Hospital and Health

Center.

It was the second quarterly meeting of the Health Care and

Environmental Task Force, established by Frommer to give physicians,

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nurses and hospital administrators an opportunity to voice their opinions

on HMOs and the future of HMO health care.

The meeting was sponsored by Assemblyman Dario Frommer (D-Glendale).

Frommer sits on three committees that deal with health-related issues:

health, insurance, and aging and long-term care.

"I'm interested to know from people on the front lines what their

experience is and what ideas and suggestions they have for making the

system work better," Frommer said Friday.

In 1999, California became one of the first states to pass HMO reform

legislation, and then formed the Department of Managed Health Care to

oversee the quality of managed care.

"We're being asked to vote on a lot of very complicated legislation,"

Frommer said. "I wanted to put the group together to act as a sounding

board for me on health care issues."

After updating the department's progress, Daniel Zingale, director of

the state's managed health care agency, explained HMO reform legislation

that allows a patient to appeal an HMO's decision to deny care.

After reviewing the HMO's decision, a panel of independent doctors can

uphold that decision or order treatment.

Physicians in attendance voiced concerns about being paid on time by

HMOs for services they provide, Frommer said.

"I thought it was positive, I thought there were some good points

made," he said. "I'm always looking for ways that we can work with

regulators to make the system work more efficiently for consumers."

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