IROs: Consumers Gain Needed Care When Unaffiliated Medical Experts Review Health Plan Denials
IRO.pdf | 435.0 KB
May 1, 2002
In 1997 the Texas Legislature created an independent review process that consumers could use when their Health Maintenance Organizations (HMOs) denied coverage for treatments and procedures. It has been close to five years since the Texas Legislature passed the law, and Consumers Union believed that it was time to evaluate its effectiveness.