It is mind-boggling to imagine why TPA/ MCO/ HMOs, who are indulging in health care-related services, are placed under the purview of Bank Negara and not under a division of the Ministry of Health.
Over 2,000 private GPs and specialist doctors have signed a petition to PM Anwar to enact the long overdue MCO Act to regulate managed care organisations; the bill should hold MCOs liable for adverse patient outcomes caused by undue constraints imposed.
Nowadays, most patients are under managed care organisations (MCOs), where there are no more personal relationships between the patient and doctor. The doctor spends more time doing reports for the MCO, rather than with the patient.
MMA says third-party administrators (TPAs) remain unregulated. A number of TPAs charge private GP clinics registration fees of up to RM5,000 to be appointed as panel clinics. TPAs also practice fee-splitting, which is illegal in medical practice.
The Federation of Private Medical Practitioners Associations Malaysia (FPMPAM) raises the issue of unfair fees and one-sided contracts with managed care organisations.