Violations of Service Fairness and Legal Ramifications: The Case of the Managed Care Industry

Adapted from Chan's (2000) model depicting success of litigation, this paper argues that with the application of various legislation, health maintenance organizations' (HMOs') violations of service fairness to each group: enrollees, physicians, and hospitals give rise to each group's lawsuits against the HMOs. Various authors (Bowen et al., 1999; Seiders and Berry, 1998) indicate that justice concepts such as distributive, procedural, and interactional justice can be applied to the area of service fairness. The violation of these underlying justice principles with HMOs' service unfairness to enrollees, physicians, and hospitals is examined. A general synopsis of the ethical issues in the managed care industry is provided. The various lawsuits launched by each group: enrollees, physicians, and hospitals together with the key statutes used are discussed. This paper also highlights the provisions and ramifications of the 11 April 2000 landmark agreement that Aetna made with Texas Attorney General John Cornyn to settle the 1998 lawsuit brought against the company. Lastly, the current ethical issues in the managed care industry are further discussed. The value of this paper can be adapted to the study of organizations' service fairness violations in other industries or in the educational, governmental, and not-for-profit sectors both nationally and internationally.     

把握新生的特点加强工作的针对性

新生具有自豪感减退、心态失衡、适应环境的能力差、学习上的盲目性等特点.做好新生工作必须具体分析、因材施教,深入了解、勤于疏导,健全制度、规范管理.     

对大学生产生重大影响的社会思潮

西方自由主义、拜金主义、享乐主义、个人主义、功利主义等是影响当代大学生思想的主要社会思潮。大学生易受不良思潮影响的原因在于缺乏历史知识,政治理论学习不深入,同时受西方思想文化的长期影响。所以要正确引导学生自觉学习政治理论,系统全面了解社会发展史,树立正确的人生观和价值观。同时网络、影视、报刊等媒体要有一个正确的导向,给大学生成长营造出一个好的成长环境。     

以企业再造思想振兴东北老工业基地

从企业再造理论产生的背景和东北老工业基地的实际情况来看,在振兴东北老工业基地的实践中应贯彻企业再造思想.要以企业再造思想为指导,把整个东北地区看做一个大组织,搞好地区的文化建设;要从企业再造理论的精神实质出发,建立新的完善的市场机制;要坚持企业再造思想所强调的三个核心原则,搞好东北地区的行政改革.     

高职学生心理素质现状分析及培养规划

我国高职院校录取分数线低,生源素质较差,自卑心理普遍,学习动力缺乏,人际交往能力不成熟。不成熟的心理素质严重妨碍了他们三年的学习生活和将来的适应就业。本文试图提出一个心理干预的规划蓝图,通过三层次心理辅导干预,致力于学生人格的重塑和未来职业心理素质的培养。     

农村税费改革相关问题的深入思考

针对进一步扩大农村税费改革试点的要求，章从农村税费改革成功与否的衡量标准入手，对农村税费改革中难点问题的根本症结进行了深入分析．指出问题的根本源自不同利益主体间利益的重新分配，并在此基础上提出了解决问题的基本思路。     

A comparative site evaluation study for relocating Japanese government agencies out of Tokyo

As a national project of Japan, plans for the relocation of several government agencies out of Tokyo have been ongoing. This paper is concerned with the problem of site selection for this project. The National Land Agency, the agency responsible for this project, has declared that the process of site selection should be rational, open to the public and easily understandable. In an effort to meet these requirements, we propose a consensus-making method for reaching a group decision, based on a combination of the analytic hierarchy process (AHP) and the Assurance Region model of data envelopment analysis (DEA). Several strategic uses of these methodologies, e.g., Delphi procedures, are also discussed. Based on these analyses, the “Wise Men” Committee for deciding the best site has chosen two from among ten contenders, one from the North-East and the other from the Central part of Japan, as candidates for the best relocation site. We could not discriminate between the two with respect to the multiple criteria chosen for evaluating sites. The Committee recommended the two sites to the Prime Minister at the end of December 1999. The Prime Minister reported this conclusion to the Diet. This topic is currently the focus of political discussions in the Diet. In this report, the authors summarize the decision-making processes that the Wise Men Committee followed, putting emphasis on the methodological aspects.     

区域金融创新体系研究

金融创新是金融发展的主要推动力之一,由于每一地区的经济、金融环境各不相同,有必要对区域金融创新体系的建立进行探索与研究,这样才能有针对性的对区域金融、经济的发展提出建设性的建议。因此,为了促进具有区域特色的金融创新的产生和发展,并使金融创新促进本地区的产业升级和经济发展,针对现有研究,文章对区域金融创新体系的概念界定、要素构成、运行机制、功能作用和构建中的实践问题等几个方面进行了分析研究。     

跨越发展与制度创新

制度是发展的关键因素，跨越发展中的开放先导、结构优化、科技进步都依赖于制度创新。因此，不发达地区要实现跨越式发展，就必须进行大规模的经济、社会改革，完成一系列制度创新的工作和任务。     

人口老龄化背景下农村养老的困境及其路径选择——基于安徽省砀山县的实证分析

在中国农村人口老龄化程度快速发展背景下，中国农村养老面临的形势不容乐观。文章基于对安徽省砀山县农村养老状况的调查，在论述当前农村养老的基本现状以及存在的主要问题的基础上，提出了农村养老保障体系建设应遵循既要使农村社会的养老资源得到充分整合又要体现社会主义新农村建设的要求的基本思路。同时，积极推进农村养老保险制度创新、尽快编织农村最低生活保障“安全网”以及不断完善新型农村合作医疗制度是当前农村养老保障工作的重心。