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Georgetown’s Report on External Review of Health Plan Decisions: An Update

Georgetown’s Report on External Review of Health Plan Decisions: An Update

External Review of Health Plan Decisions: An Update, prepared for the Kaiser Family Foundation by Geraldine Dallek and Karen Pollitz of The Institute for Health Care Research and Policy, Georgetown University. In November 1998, the Kaiser Family Foundation released a report prepared by Georgetown University on external review programs in 13 states and the Medicare program. In the last year and a half, the number of state external review programs has more than doubled to include 32 states and the District of Columbia, and many private health plans have voluntarily provided external review programs. This report analyzes the current trends and features of state external review programs.

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.