Finance, providers issue brief: HMO medical directors

Medical directors of managed care organizations have the ultimate responsibility of deciding which treatments a health plan will pay for. Cognizant of consumer concerns over the power inherent in the position, states are seeking to inject more accountability into the decision-making process. Among the issues with which they have begun to grapple: whether medical directors should be required to hold a medical license from the state in which they work and, by extension, whether they should be under the jurisdiction of the state medical board.