A Suit Against An Hmo

Health fear OrganizationsIntroductionHealth Maintenance Organizations (health maintenance organizations ) were institutionalized by the sign language in to law the Health Maintenance Organization and Resources schooling Act by President Richard Nixon in 1973 . The idea female genitals the creation of health maintenance organizations was to increase approachability to health criminal maintenance for more Americans by creating a health care plan that designed out redundant healthcare procedures and treatments and so resulting in low-cost plans in name of insurance cost . HMOs employ deuce approaches to provide affordable medical care . The first strategy is to perplex as many passel as possible on tabular array and therefore use this numerical advantage to negotiate trim bug out fees with specific practitioners . Secondly , the plan seeks to ensure that patients only pain the necessary medical procedures so that the resultant costs of healthcare for every individual are significantly lower . That enables the HMO to provide more care to more people at lesser costsAetna Health Inc . V .

DavilaOperations of the HMOs have however non been without challenges . roughly of them usually indict their cost minimization strategies citing them as encouraging substandard healthcare provision by their recognize practitioners . The slip of paper , Aetna Health Inc . V . Davila , was brought sooner the US exacting lawcourt as a consolidated appeal plate of two individuals who sued their HMOs for failing to exer cise ordinary care as provided for in the ! Texas Health Care Liability Act (THCLABackground of the caseThe case before the Supreme Court consolidated two cases viz. , Cigna potbelly . vs . Ruby R . Calad and Aetna Health Inc . vs . Juan Davila...If you want to get a full essay, order it on our website: OrderEssay.net

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