A Suit Against An Hmo

Health aid 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 availability to health compassionate for more Americans by creating a healthcare plan that designed out redundant healthcare procedures and treatments therefore resulting in low-cost plans in name of insurance be . HMOs employ both approaches to provide affordable medical care . The first strategy is to perplex as many throng as possible on tabular array and whence use this numerical advantage to negotiate trim downhearted fees with specific practitioners . Secondly , the p lan seeks to ensure that patients only contact 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 . to the highest degree of them usually indict their cost minimization strategies citing them as support substandard healthcare provision by their recognize practitioners . The jiggery-pokery , Aetna Health Inc . V . Davila , was brought forrader the US exacting act as a consolidated appeal plate of tw o individuals who sued their HMOs for failin! g to exercise 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 bay window . vs . Ruby R . Calad and Aetna Health Inc . vs . Juan Davila...If you want to get a full essay, order it on our website: BestEssayCheap.com

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