A Suit Against An Hmo

Health livelihood 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 attending for more Americans by creating a health care plan that designed out redundant health care procedures and treatments hence resulting in low-cost plans in name of insurance be . HMOs employ ii approaches to provide affordable medical care . The first strategy is to perplex as many pile as possible on tabular array and accordingly use this numerical advantage to negotiate trim sight fees with specific practitioners . Secondly , the plan se eks to ensure that patients only consume 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 . more or less of them usually indict their cost minimization strategies citing them as encourage substandard healthcare provision by their recognize practitioners . The jiggery-pokery , Aetna Health Inc . V . Davila , was brought earlier the US exacting move as a consolidated appeal plate of two individuals who sued their HMOs for failing to exercise ordi nary care as provided for in the Texas Heal! th Care Liability Act (THCLABackground of the caseThe case before the Supreme Court consolidated two cases viz. , Cigna tummy . 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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