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 ?
Removal of the contracts gag clause would allow pharmacists to inform their patients of money-saving options, without fear of retaliation from PBMs.
Belafonte wants a gag clause on ever being discussed by Mel publicly.
The fact is that people dont know what is in the agreements that are made between, for example, the drug companies and those in the supply chain, so most people will never even know that a gag clause is there today.
The so-called gag clause has been cited by some as a technique used by managed care companies to limit access to care.
Whether or not there is a gag clause in the contract, discussion of appropriate treatment options should occur.
The customer refused, and KlearGear invoked the gag clause in its Terms of Service, sending the significant fine to a collections agency and damaging the consumer's credit rating.
Nelson praised the bill's provisions on grievance and appeals procedures, direct access to specialists, HMO liability, gag clause prohibitions, and continuity of care for patients with chronic conditions if their physician is dropped from an HMO's provider panel.
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.
com/political-capital/why-are-drug-prices-going-democratic-power-players-help-pharmaceutical-industry) gag clauses " on pharmacies, keeping them from informing customers that they can actually save money by sidestepping their insurers and paying out of pocket.
Gag clauses are typically buried deep in non-negotiable contracts or even in websites' terms of service, so consumers don't have a reasonable opportunity to negotiate or refuse to accept the conditions.
Think New Mexico proposes banning the gag clauses that prevent disclosure of the actual contracted rates, so that if discrepancies exist among payers, those discrepancies are publicly visible.
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.