Third Party Administrators (TPAs). Managed Care Organisations (MCOs) Archives

21 March 2025

Malaysia

Report Insurers For GL Interference That Endangers Patient Care: FPMPAM

FPMPAM advises private doctors to file reports to MOH and BNM against health insurers or managed care organisations who place conditions on guarantee letters that interfere with clinical decisions or deny coverage, compromising patient care and safety.

5 February 2025

Letter

GPs: The Backbone Of A National Health Care Financing Scheme — Dr Mohamed Rafick Khan Abdul Rahman

MOH must develop practical solutions for GPs that can lead to a level playing field with other paramedical service providers. It should not create regulations that give certain players in the health care sector an unequal advantage.

10 October 2023

Malaysia

Doctors Seek Government Action To Protect Patient Rights And Safety

The task force urges the government to enact regulations in order to regulate Managed Care Organisations (MCOs).

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.

3 October 2023

Malaysia

Over 2,000 Doctors Petition PM To Regulate Managed Care Organisations

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.

26 September 2023

Letter

Managed Care Organisations And Third-Party Administrators: The Final Frontier In Primary Care — Dr John Teo

There seems to be no plausible reason why MCOs or TPAs, which can have such far-reaching effects on health care services and delivery are left unchecked and unregulated, but clinics and doctors are micromanaged and strangulated with unending requirements.

25 September 2023

Letter

Having Middlemen In Private Medical Care Is Bad – Dr Mohd Tajudin Shaffee

"Experience over the past 20 years has shown that the MCO business model is that of cost control by 'rationing of care', not 'cost-containment'. It imposes rationing, exclusions, and limits choice, in order to control cost to increase their profit margin."

20 September 2023

Letter

The Suffering Family Medical Practitioner — Dr Sng Kim Hock

The Association of Specialists in Private Medical Practice Malaysia says the RM35 cap on GPs/ family doctors' consultation fee is at par or lower than plumber or electrician fees, and cheaper than a beautician or hair salon visit, forcing clinics to close.

Tag: Third Party Administrators (TPAs). Managed Care Organisations (MCOs)

Report Insurers For GL Interference That Endangers Patient Care: FPMPAM

Doctors Seek Government Action To Protect Patient Rights And Safety

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

Over 2,000 Doctors Petition PM To Regulate Managed Care Organisations

Managed Care Organisations And Third-Party Administrators: The Final Frontier In Primary Care — Dr John Teo

Having Middlemen In Private Medical Care Is Bad – Dr Mohd Tajudin Shaffee

The Suffering Family Medical Practitioner — Dr Sng Kim Hock

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