Americans with Disabilities Act; the Clinton plan eliminates many disability issues but adds a confusing level of regulation

Article Abstract:

The Clinton administration's health care reform plan hopes to guarantee coverage for virtually all medical conditions, thus alleviating disabled individuals' worries that coverage could be denied or taken away when most needed. Since Clinton's plan would, even if enacted, not take effect right away, the Americans with Disabilities Act (ADA) will remain an important vehicle for contesting health benefit denials due to disability. Moreover, the Clinton plan leaves out treatment for long-term mental illness or substance abuse, and the legality of this limitation will probably be contested in the courts under ADA.

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Providers' perspective; the plan would create plenty of work for lawyers, but providers wouldn't be able to afford them

Article Abstract:

The federal government has a poor track record in overseeing the marketplace, and giving it authority over the health care marketplace, as the Clinton plan envisions, does not bode well for the future of medical care. Moreover, skilled quality assessment will be crucial to make sure cost cutting will not result in inferior care, and it is difficult to imagine the government acquiring this skill in just a couple of years.

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Risk-sharing contracts are problematic; health care providers, unlike insurance underwriters, often do not conduct enough research before entering into agreements

Article Abstract:

Issues are discussed regarding the risk-sharing agreements some health care providers entered into under managed care and the poor results their lack of experience as risk managers led to. Specific provisions in many agreements which tended to lead to poor results are discussed, as are alternative health care reforms.

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