Document Type

Article

Publication Date

1998

Journal Title

Indiana Law Review

ISSN

2169-320X

Abstract

This essay offers a few thoughts about using judicial decisions as the dataset for research into health insurance coverage. Part I offers a general overview of insurance coverage law. Part II considers why students of health insurance coverage gravitate toward studying published opinions. Part III then discusses what is wrong with the approach, and suggests alternatives. Finally, Part IV turns to what may be right with the approach, concluding that judicial opinions in coverage litigation may reveal the functionality (or dysfunctionality) of the coverage process in managed care. Although the basic critique which the essay presents applies to areas other than litigation involving medical necessity or experimental treatment, it offers special insights into issues like health insurance coverage where legal doctrine and public policy may not be congruent.

First Page

49

Last Page

73

Num Pages

25

Volume Number

31

Issue Number

1

Publisher

Indiana University School of Law - Indianapolis

File Type

PDF

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