An HMO (health maintenance organization) is an organization the provides or arranges managed care for health plans. An HMO essentially acts as an intermediary for health care providers on a prepaid basis. A patient enrolled in an HMO managed plan must deal with requirements of the plan. One of the most typical requirements is that the HMO members are only allowed to use certain hospitals or physicians for their medical treatment. HMOs work hard to keep their costs as low as possible. This often includes offering medical provides incentives to keep their costs down. The resulting consequences may be devastating for the patient, as doctors fail to provide adequate medical care because it’s too expensive. This can be misconduct on the part of the HMO and medical malpractice.
Common types of HMO Misconduct
You have rights as a patient. In Sacramento you may have a viable medical malpractice case due to HMO misconduct for a number of different reasons. These reasons include, but are not limited to, the following:
- Your medical treatment was delayed to your detriment
- You feel your medical treatment ended prematurely
- The medical treatment you were provided was only partial treatment
- Your medical provider did not inform you of necessary tests or treatment
- You were not properly informed of the benefits or risks of treatment
- The medical staff was not adequately trained or supervised
- A loved one was effected by any of the above
Health insurance is incredibly expensive and you rightly expect your HMO to hold up their end of the bargain and provide you with the proper quality of care. HMO misconduct is medical malpractice and it’s cheating you out of the necessary medical care you paid, for often in the time of your greatest need. Injury caused by the bad faith actions of HMO’s misconduct deserves proper compensation for the damage caused. This may include medical bills, pain and suffering, lost wages or more. HMOs are extremely well staffed with a team of lawyers and they are looking to save the company further expenses and limit your compensation as much as they possibly can. Don’t take on the big HMOs in Sacramento without an experienced medical malpractice attorney working for you.
Contact an Experienced Sacramento HMO Misconduct Attorney Today
If you or your loved one has suffered preventable medical injury due to the misconduct of an HMO or insurance company you, Contact the Teal Law Group. It’s a free consultation.