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Gag rules

T L Jones

    Texas Medicine
    |April 1, 1996
    PubMed
    Summary
    This summary is machine-generated.

    Managed care plans use confidentiality clauses in physician contracts, which physicians call gag rules. These rules restrict doctors from speaking negatively about plans, impacting patient advocacy.

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    Area of Science:

    • Healthcare Policy
    • Medical Ethics

    Background:

    • Physician contracts with managed care plans traditionally included implicit agreements against disparagement.
    • Recently, explicit "confidentiality clauses" have become common in these contracts nationwide.

    Purpose of the Study:

    • To examine the implications of "confidentiality clauses" in managed care contracts.
    • To understand the perspective of the medical community on these clauses, referred to as "gag rules".

    Main Methods:

    • Analysis of contract language in physician agreements with managed care organizations.
    • Review of the impact of these clauses on physician-patient advocacy.

    Main Results:

    • Managed care plans label these contract stipulations as "confidentiality clauses."
    • Physicians and medical associations refer to these clauses as "gag rules."

    Conclusions:

    • "Gag rules" are increasingly codified in physician contracts with managed care plans.
    • These clauses are viewed by physicians as a tactic that hinders their ability to advocate for patients.