What is the legal framework for health care dispute resolution?

In Pennsylvania, the legal framework for health care dispute resolution is based on a system of laws that govern the interactions between health care providers, patients, insurers, and employers in the state. The basis for these laws is the Pennsylvania Health Care Cost Containment Law (PHCCHL). This law was created to help control the cost of health care and protect the rights of both patients and providers when it comes to disputes over medical bills and services. The PHCCHL requires health care providers to provide patients with accurate information about health care services and billing, and it also establishes guidelines for how disputes between providers and patients should be resolved. The Medical Care Availability and Reduction of Error (MCARE) Act of 2002 also plays an important role in the legal framework for health care dispute resolution in Pennsylvania. This act requires health care providers to follow certain safety standards when providing services to patients, and it gives patients the right to appeal decisions made by their health care providers. The Consumer Protection Law of Pennsylvania is also relevant to health care disputes. This law provides patients with certain consumer rights when dealing with health care providers and insurers, and it prohibits providers from engaging in deceptive or unfair practices. Finally, the Alternative Dispute Resolution (ADR) Program operated by the Pennsylvania Department of Health is another important tool for resolving health care disputes. The ADR program provides an informal, voluntary way for patients and providers to resolve disputes without going to court.

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What is the legal framework for health care dispute resolution?

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