HMOs, or Health Maintenance Organizations, are health insurance managed care institutions. For those patients who have HMO coverage, all of their medical care decisions must go through the HMO provider for approval. This can sometimes cause incidents of negligence in that patients’ conditions can deteriorate while they are waiting for approval of care or procedures from the HMO managed case company. If you feel this has happened to you, you should find a lawyer for personal injury cases to look into your medical records and determine if you have a solid medical malpractice or negligence case against the HMO.

A lawyer for personal injury often either has medical experience personally or has medical personnel on staff, making the review of your medical records a practiced and experienced one. The lawyer for personal injury knows what he or she is doing and can advise you in the event of an HMO managed case issue. Examples of problems with HMO managed care are instances such as:
1.Worsening condition- if the patient waits and waits for a response from the HMO about their care and cannot, in the meantime, be properly treated for the problems

2. Irreparable damage- by the same token as above, if the patient experiences permanent damage or worsening of their condition due to waiting or even denial of services on the part of the HMO managed case company. Continue reading →