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HMO/PPO Abuse

News Story
12/29/2005
Posted by Consumer Watchdog
Study by Consumers Group Suggests Insurers Set Premiums Based on Market, Not Their Losses The insurance industry has long argued that huge losses from malpractice suits -- now running more than $7 billion a year -- have forced it to hike malpractice premiums, which more than doubled last year in some cities and for some specialties. But a new...
Blog Post
10/10/2005
Posted by Consumer Watchdog
For weeks, Arnold sat with SB 399 on his desk. The bill would have ended a taxpayer subsidy of the insurance industry in which government health programs pay the medical costs of car accidents instead of the insurance company of the driver who caused the accident. Supporters of the bill -- doctors, county hospitals and attorneys -- pinned their...
Blog Post
3/3/2005
Posted by Consumer Watchdog
Last December, Arnold shamelessly bragged that he was kicking nurses' butts in Sacramento after he threw out patient protection rules guaranteeing that hospitals have enough nurses on duty. But a tentative court ruling today canned the governor's order, saving the butts of countless California patients. The result was predictable given the...
Blog Post
1/14/2005
Posted by Consumer Watchdog
Governor Schwarzenegger's budget plan will force 816,000 seniors, disabled Californians and their family members currently enrolled in the state's Medi-Cal program into HMOs. Forget for the moment that we shouldn't be leaving seniors and the disabled in the hands of HMOs; this plan is a budgetary disaster that will cost California more money than...
Blog Post
7/23/2004
Posted by Consumer Watchdog
Arnold looked like the HMOs' Superhero today when his HMO regulator suddenly blessed the nation's largest health insurance acquisition; Anthem's buyout of Wellpoint, the parent company of Blue Cross of California. Tipsters in the Department of Managed Health Care say the Gov himself made sure the deal got a rubber stump and, suggesting he is...
News Story
6/23/2004
Posted by Consumer Watchdog
Opinion: The Supreme Court seems to have made the right legal judgment this week when it ruled that patients cannot sue in state courts when their managed care plans refuse to pay for treatments ordered by doctors. The nine justices' unanimous decision, expressed in majority and concurring opinions, left no room for doubt that a federal law known...
Blog Post
5/4/2004
Posted by Consumer Watchdog
HMOs were not supposed to have any more clout in the Capitol than patients if you believe Arnold's campaign promises. But testimony by the Gov's newly appointed HMO regulator tomorrow could again show that those pledges have been forgotten. Capitol insiders tell us that the Governor is sending the Department of Managed Health Care's new director...
Blog Post
1/29/2004
Posted by Consumer Watchdog
HMO reform was the big populist movement of the late 1990s and, in California, one of its main results was a new Department of Managed Health Care and its 1-800 patient help hotline. The Department has effectively helped patients denied care by intervening on their behalf and established new rules for HMOs to follow. Now some of those important...
News Release
6/19/2002
Posted by Consumer Watchdog
Call Made For Rule Changes So All Present Must Vote Or Not Be Paid Ignoring the pleas of a Health Net patient locked out of the court system by mandatory arbitration, a cabal of silent Democrats friendly to corporations joined with Republicans to put the interests of the HMO industry above those of patients. They refused to support, or to oppose,...
News Story
11/17/1996
Posted by Consumer Watchdog
Health maintenance organizations, which care for more than 60 million people, are telling courts across the country that they cannot be held responsible for medical malpractice in cases involving patients who receive care through employer-sponsored health plans. The H.M.O.'s argue that they are protected against malpractice claims and lawsuits by...