HMO malpractice occurs in every stage of the claims process. For one, HMOs all-too-often fail to recognize eligible policyholders. Second, HMOs make hasty, unfair decisions to deny coverage when reviewing policyholder situations and requests, thus putting patients at risk. Third, they unabashedly refuse to administer treatments simply because they think they are too expensive.
However, it is not just the HMOS who are to blame – physicians, too, play a role in HMO malpractice. For example, doctors sometimes only recommend tests and procedures for which they know they will be reimbursed. Also, because they know HMOs set limits on the number of hospital admissions, specialist referrals, and test requests doctors can make, unethical doctors area frequently inclined to withhold tests and treatments from patients.
If you or a loved-one have been injured as a result of medical malpractice, we would be happy to review and evaluate your case. Please call us at 615-844-4034 or complete the Case Submission Form to the right.