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Gag Clause

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Gag Clause
A provision that may be incorporated in a physician’s contract with managed care organizations, which prevents him from being open with his patients about the terms of the patient’s coverage and therapeutic options


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But within the research contract there is usually a gag clause that prevents the researcher from spilling the beans if the results are bad--as Betty Dong found out to her great cost.
The lawsuits also allege that HMOs impose gag clauses and conditions that penalize physicians who discuss certain treatment alternatives with their patients, along with limiting access to specialists.
Gag clauses were part of the discussion at three informal public hearings on managed care in New Jersey where HMO rules are being overhauled.
 
 
 
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