HMOs liable for actions of their network doctors

Article Abstract:

The Florida Supreme Court declared a ruling that the HMOEs would be sued under the state law if there arose a question about the quality of care with whom the health plan contracts. A lawsuit of Susan Cohen VillazonEs case, filed by her husband, is presented in which the physician with whom the company misdiagnosed a cancerous tongue condition leading to her death in 1997.

Product quality, Hospital and medical service plans, Quality management, Medical care quality, Medical errors

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High court punches another hole in federal law shielding HMOs

Article Abstract:

Federal law protection of health maintenance organizations does not override state laws, according to the decision of the US Supreme Court. This decision involved the Employee Retirement Income Security Act of 1974 and a Kentucky law governing health plan inclusion of health professionals.

Kentucky

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Class-action notices require individual consideration

Article Abstract:

The impact of class action lawsuits upon health insurance payment regulations is discussed.

Class actions (Civil procedure), Company legal issue, Cases, Class action lawsuits, Influence, Health insurance industry

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