About Robert DiGiacomo
Articles written by Robert DiGiacomo
HMOs and Your Rights
When your managed-care company denies you care, don’t feel helpless—fight backIn Illinois, as in most states, health maintenance organizations and managed care companies call the shots when making decisions about your health care. But that doesn’t mean you don’t have any recourse if you believe your HMO has denied you proper care. Under a 1999 state Supreme Court ruling, Petrovich vs. Share Health Plan of Illinois, a health care provider can hold a managed care company liable for negligence. “If [HMOs are] influencing a physician’s medical decision, they can be …
Managing Managed Care
In 2000, Edward Ricci of Palm Beach Gardens won a landmark $79.5 million verdict against Humana Health Insurance Company of Florida Inc., one of the nation’s largest health maintenance organizations. In 1995, Humana decided to boost profits by abruptly cutting off care for more than 100 catastrophically ill people, including 5-year-old Caitlyn Chipps, a Palm Beach County girl with cerebral palsy who needs crucial occupational, physical and speech therapy. Hearing about Chipps compelled Ricci …
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