The patients generally, do not view gatekeeping as favorable and complain that its actual purpose is not to improve the quality of care but to reduce costs that managed care organization incur for providing specialized services to patients (Estes, Rodriguez, 2003, p.383).
The providers working in managed care networks see more patients in a day than other providers. Thus, patients complain that they face huge delays before they are able to see the doctors (Woodard, 2000).
Another concern is the volume of documentation. Multiple pages of forms are required to be filled in by patients detailing personal information. Patients are concerned about access controls to this documentation (Holmes, L., n.d.).
Consolidated Omnibus Budget Reconsolidation Act (COBRA) was passed by United States government in 1986. It is an amendment to the Employee Retirement Income Security Act (ERISA), the Internal Revenue Code, and the Public Health Service Act (US Department of Labor, 2006).
COBRA states that employees, who would otherwise lose their group health coverage due to certain events, would still be able to continue their health coverage. Prior to COBRA, the health care coverage was allowed only up to the time the employee remained in service. In order to be eligible for COBRA continuation coverage, following three requirements must be met:
COBRA is applicable to both private sector and government employers offering group health care plans. ...