What is Managed Care?
Managed care is a complex system that involves the active coordination of, and the arrangement for, the provision of health services and coverage of health benefits.
The most common types of Managed Care Organizations (MCOs) include Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs) and Exclusive Provider Organizations (EPOs.)
Managed care usually involves three key components: oversight of the medical care given; contractual relationships and organization of the providers giving care; and the covered benefits tied to managed care rules.
Below are some examples of HMO negligence:
Failure in Treating an Emergency Condition
Failure to Run Diagnostic Tests
Failure in Transferring Patient to a Proper Medical Provider
