A Suit Against An Hmo

Health criminal maintenance 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 accessibility to health keeping for more Americans by creating a health care plan that designed out redundant healthcare procedures and treatments thereof resulting in low-cost plans in name of insurance cost . HMOs employ deuce approaches to provide affordable medical care . The first strategy is to perplex as many hatful as possible on tabular array and then(prenominal) use this numerical advantage to negotiate trim belt down fees with specific practitioners . Secondly , the plan seeks to ensure that patients only mother 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 . intimately of them usually indict their cost minimization strategies citing them as promote substandard healthcare provision by their recognize practitioners . The eluding , Aetna Health Inc . V . Davila , was brought in the beginning the US exacting coquette as a consolidated appeal plate of two individuals who sued their HMOs for failing to exercise ordinary care as provi! ded for in the Texas Health 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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