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

gag clause

Any item in a contract that restricts free speech or personal expression.
References in periodicals archive ?
The so-called gag clause has been cited by some as a technique used by managed care companies to limit access to care.
Another type of gag clause limits what doctors may tell HMO patients about policies that link the compensation of doctors to their success in holding down health costs.
And employers often have no line of sight into the shadowy cost negotiations that impact their premiums due to gag clauses that prohibit health insurers from publishing prices.
Last night, the Gillard Government s Not-For-Profit Sector Freedom to Advocate Bill 2013 passed the Parliament, banning the use of gag clauses in Federal Government contracts with the not-for-profit sector.
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.
The gag clauses are either denied by managed care companies or defended on the ground that they aim only to prevent physicians from disparaging the very companies that are sending them patients.
Gag clauses were part of the discussion at three informal public hearings on managed care in New Jersey where HMO rules are being overhauled.
It's a bit rich for Kevin Andrews to talk about the independence of Australia's not-for-profit sector, given it is the Liberal Party which uses gag clauses to silence the sector," said the Minister for Social Inclusion, Mark Butler MP.
Particularly worrisome to the Medical Association is Aetna and Wellpoint's use of gag clauses which punish physicians for advocating for their patients' medical needs and provisions that allow managed care plans to decide what is -- and what is not -- medically necessary for a patient.
It will also seek to ban gag clauses in HMO contracts.
As examples, our new contract emphasizes our opposition to gag clauses, and our support of prudent layperson language on emergency care.
2 million members, also has eliminated gag clauses, which have come under fire in the HMO campaigns of California Propositions 214 and 216.