(READOPTED 08-12, HOD; RESOLUTION 98-34) RESOLVED, that medical directors of insurance entities be held accountable and liable for medical decisions regarding contractually covered medical services; and be it further, RESOLVED, that the ISMA undertake whatever legislative and regulatory measures necessary to bring about this accountability; and be it further, RESOLVED, that the ISMA direct the Indiana delegation to the AMA to convey this resolution to the AMA for implementation into AMA policy and federal legislative agenda at the 1998 interim meeting of the AMA; and be it further, RESOLVED, that the ISMA ask that insurance entities be required to explain to the covered members what is and what is not a contractually covered medical service. (READOPTED 08-11, HOD; RESOLUTION 98-37) RESOLVED, that the ISMA seek legislation to place liability for medical malpractice on an HMO that makes a determination of medical necessity contrary to a recommendation of a patient's physician that falls within normal standards of medical practice and includes contractually covered medical services. (7/15/79, BOT) The ISMA in its support of pluralistic health care delivery systems recognizes freestanding, prepaid capitation programs as one form of delivery of medical services. The presence of such programs in a community may provide a choice to the individual patient under certain circumstances. However, an objective evaluation of all forms of medical care delivery systems can only exist in an atmosphere free of artificial restraints on or advantages to any one delivery system. Therefore, the ISMA strongly objects to federal subsidization, either fiscally or legislatively, of any one form of delivery system as being inconsistent with an objective analysis and supports the concept of neutral public policy and free market competition.