managed care organisations (MCOs) Archives

12 November 2025

Malaysia

Medical Groups Threaten Legal Action Against TPA, Bank Over Generic-Only Policy

Nine doctors' groups have sent a letter of demand to MiCare and Hong Leong Bank over a generic-only mandate for long-term medications for the bank's staff, saying this policy puts patients at risk and unfairly exposes medical practitioners to legal action.

30 October 2025

Malaysia

MOH Warns Against ‘Financial Gatekeeping’ In Medical Practice

MOH raises concern over practices that compromise clinical independence or patient safety. Decisions on anaesthesia, treatment modality, admission status must be based on clinical need and ethical standards, not admin directives or financial gatekeeping.

9 October 2025

Letter

Act Now For Better Patient Care: Protect Workers’ Health, Protect Patients’ Rights — Dr Steven Chow

Without urgent reform, Malaysia risks sliding into a profit-driven health care model that undermines ethics and patient safety.

7 October 2025

Malaysia

Health DG Warns Insurers Against Illegal Interference With Clinical Decisions

In an unprecedented warning, the Health DG tells insurers and TPAs that interfering with a medical practitioner’s clinical authority isn't only unacceptable, but may breach Act 586. Setting reimbursement on predetermined clinical choices may be illegal.

3 October 2025

Malaysia

FPMPAM Demands MOH, MMC Probes Against MediExpress Over Anaesthesia Directive

FPMPAM tells the Health Ministry and the Malaysian Medical Council to investigate MediExpress' anaesthesia directive for interference with clinical decision-making and possible infringement of Act 586. FPMPAM stresses the need for laws to regulate MCOs.

13 August 2025

Letter

Fomca Should Address The Real Threats To Patients — DRSFORALL

DRSFORALL says the right of patients to choose where to obtain their medicines has long been embedded in MMC guidelines, telling Fomca to address "the real dangers" to patients from unregulated TPAs/MCOs that increasingly dictate the terms of patient care.

29 May 2025

Letter

Who Calls The Shots In Your Health Care? A Patient’s Right To Know — Dr Steven KW Chow

The time has come for the rakyat to speak up—for the preservation of patient choice, quality care, and the sanctity of the doctor-patient bond.

27 May 2025

Malaysia

GP Blames TPA, Corporate Payment Delays For Drug Price Markups

A GP in KL defends higher drug prices in GP clinics, citing delayed payments from corporate clients and TPAs/MCOs that take 2-3 months on average. Sometimes, GP clinics face payment delays of a whopping 1-2 years. "So how do GPs cover all this? Medicine."

9 December 2024

Malaysia

‘Strangled’ By Regulation, GPs Declining Into ‘Sunset Industry’

GP clinics are declining into a "sunset industry", says FPMPAM, "strangled" by mounting regulatory burdens like drug price displays, while doctor fees stagnate and TPAs grow. "There are too many regulations. They are killing the practice of medicine."

4 October 2023

Letter

The ‘Middleman’ In The Health Care Industry: MCO/ TPA/ HMO — Dr Chang Chee Seong

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.

Tag: managed care organisations (MCOs)

Medical Groups Threaten Legal Action Against TPA, Bank Over Generic-Only Policy

MOH Warns Against ‘Financial Gatekeeping’ In Medical Practice

Act Now For Better Patient Care: Protect Workers’ Health, Protect Patients’ Rights — Dr Steven Chow

Health DG Warns Insurers Against Illegal Interference With Clinical Decisions

FPMPAM Demands MOH, MMC Probes Against MediExpress Over Anaesthesia Directive

Fomca Should Address The Real Threats To Patients — DRSFORALL

Who Calls The Shots In Your Health Care? A Patient’s Right To Know — Dr Steven KW Chow

GP Blames TPA, Corporate Payment Delays For Drug Price Markups

‘Strangled’ By Regulation, GPs Declining Into ‘Sunset Industry’

The ‘Middleman’ In The Health Care Industry: MCO/ TPA/ HMO — Dr Chang Chee Seong

After 36% Doctor No-Shows In Borneo, Dzulkefly Announces 30% Quota For Specialisation

Budget 2027: Permanent Appointments For Doctors In 2027 After Housemanship

PMX, Step In For The Sake Of Public Health Care — Dr Timothy Cheng

AIA Excluding Individual IHH Consultants From Panel On ‘Purely Commercial’ Basis: IHH

MOH Should Have Done More, Say Two FDS Crash Families