10 October 2023
The task force urges the government to enact regulations in order to regulate Managed Care Organisations (MCOs).
Tag: Third Party Administrators (TPAs). Managed Care Organisations (MCOs)
4 October 2023
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
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
"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
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.