subject: Finding a Lawyer for Personal Injury [print this page] Finding a Lawyer for Personal Injury
HMOs, or Health Maintenance Organizations, are health insurance managed care institutions. For those patients who have HMO coverage, all of their medical care decisions must go through the HMO provider for approval. This can sometimes cause incidents of negligence in that patients' conditions can deteriorate while they are waiting for approval of care or procedures from the HMO managed case company. If you feel this has happened to you, you should find a lawyer for personal injury cases to look into your medical records and determine if you have a solid medical malpractice or negligence case against the HMO.
A lawyer for personal injury often either has medical experience personally or has medical personnel on staff, making the review of your medical records a practiced and experienced one. The lawyer for personal injury knows what he or she is doing and can advise you in the event of an HMO managed case issue. Examples of problems with HMO managed care are instances such as:
1.Worsening condition- if the patient waits and waits for a response from the HMO about their care and cannot, in the meantime, be properly treated for the problems
2. Irreparable damage- by the same token as above, if the patient experiences permanent damage or worsening of their condition due to waiting or even denial of services on the part of the HMO managed case company.
3. Death- in some cases because of denied care or delayed care, a patient may die from the complications of their medical condition. If it can be shown that the needed and withheld care would have saved the patient's life, the lawyer for personal injury may indeed have a case.
Some of the biggest problems with HMO managed case situations are the interminable wait and the oft denied services. In many cases the medical decisions made by the HMO are made by those who are not even doctors. Another common problem is that when outside doctors are consulted by the HMO managed case workers, they feel such strong pressure to decide in favor of the HMO and deny the care request in order to continue being paid their consulting fees. The lawyer for personal injury can assess your medical records, or those of your loved one, and determine if the HMO is at fault and what can be done about it. It is difficult to hold HMO companies responsible; however it is not impossible with a reputable lawyer for personal injury.
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