clinical interference Archives

1 December 2025

Malaysia

Managed Care ‘Achieves’ Lower Costs By Restricting Care, Says FPMPAM

FPMPAM says subjecting referrals, investigations, and medication choices or even quantities to TPA approval is "intrusion" into clinical decision-making, "not benefit management". Managed care supposedly "achieves" lower costs by restricting care.

17 November 2025

Malaysia

Grievance Mechanism Committee To Resolve Health Insurance Claims ‘Pain Points’

At its first meeting on Nov 10, the Grievance Mechanism Committee – comprising MMA, APHM, LIAM, PIAM and MTA – decided to prioritise health insurance claims protocols that will be co-developed by specialists and payers to resolve common claims pain points.

10 November 2025

Malaysia

Bank Negara Wants Explanation From ITOs, TPAs On Clinical Interference

Bank Negara is seeking explanations from ITOs and TPAs on their alleged interference with doctors’ clinical decisions, including GL denial, delay, revocation; denying diagnostic tests; questioning a procedure or admission; or dictating treatment modality.

Tag: clinical interference

Managed Care ‘Achieves’ Lower Costs By Restricting Care, Says FPMPAM

Grievance Mechanism Committee To Resolve Health Insurance Claims ‘Pain Points’

Bank Negara Wants Explanation From ITOs, TPAs On Clinical Interference

Pork Importers Back Pig Farming Ban In Selangor

Time To Phase Out Colonial-Era PTD Scheme From Malaysia’s Civil Service

Sultan Sharafuddin Wants Total Pig Farming Ban In Selangor

Half Of EPF Members Have Under RM50,000, KWAP Warns Of ‘Optimism Bias’

Critical Manpower Shortage, Unsafe Working Conditions At HTAR Klang — Medical Officer