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HMO and Medical Business Misconduct

It seems that everybody has a horror story about how their HMO or medical business has handled their medical situation. In some instances in seems that decisions about health care are being made by non-physicians or by doctors you never meet and who have little to do with taking care of you. Sometimes HMOs or medical businesses even offer doctors and hospitals financial incentives to provide lower cost medical care.

These decisions have may have disastrous medical or financial results for you and your family.

HMO and medical business misconduct come in many forms. These companies are afforded special protections under the law because of the lobbying of your politicians by the strong insurance companies and HMOs.

The protections these companies have been given under the law make these types of cases some of the most difficult to fight and to get you the justice you deserve and need.

However, if anyone can break the back of these corporate wrongdoers, Dr. Heimberg can. He is not only a doctor and an award-winning trial lawyer, but is one of the few plaintiff attorneys in the country with special training and experience in health systems law and health economics.

Dr. Heimberg’s unique set of skills and experiences have allowed him to be successful in a number of cases against HMOs and medical businesses. In fact, he has been so successful in having HMOs removed from the protection of MICRA that he made case law.

Common Types of Cases

You may have a case against your HMO or one of these businesses if you fall into one of the following categories:

  • including and enforcing a mandatory arbitration clause in enrollment forms that is not obvious and eliminates the patient’s right to sue;
  • postponement of medical treatment;
  • ending medical treatment too early;
  • failure to inform of needed treatment or tests;
  • failure to inform of benefits and risks;
  • death of a loved one who was not provided necessary medical treatment;
  • medical malpractice by doctors, nurses or other HMO medical personnel;
  • providing partial treatment, but not to the extent needed;
  • inadequate staffing, training, or supervision of staff;
  • persons performing functions beyond or outside of their training;
  • intentional negligence.

Though we understand that this is an excruciatingly difficult time for you, please be aware that it is critical that an investigation into the facts of the case be undertaken as soon as possible if you are considering filing a medical malpractice case. This is necessary to preserve evidence, to get information while memories are fresh, and to avoid losing your right to bring a lawsuit.

Reasons to File a Case

You not only deserve to be compensated for your pain and suffering and the loss of enjoyment of life, but, most importantly, you deserve to be free from your new financial hardships. You may no longer be able to work to support yourself and your family, to pay for your mounting medical bills, or to afford the extra costs of hiring help to do what you can no longer do around the house. Payment for your or a family member’s injuries or for the unnecessary death of a loved one is often critical to your and your family’s future.

Yet in most cases you will face an army of lawyers and the resources of a mega-corporation fighting you in order to avoid providing you the money you desperately need. In other words, their whole focus is to avoid claims or to settle with you for the least amount of money possible.

Contact Us for a Free Consultation

If you think you or a family member is a victim of HMO or medical business misconduct, contact us for a free consultation.

800 West Sixth Street - Suite 1500 - Los Angeles, CA 90017 | TEL: (213) 213-1500 | Toll-Free: (800) 425-5557
2700 N. Central Avenue - Suite 1400 - Phoenix AZ 85004 | TEL: (602) 285-4406 | Toll-Free: (800) 425-5557
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