Consumer Watchdog

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Consumer Watchdog

Healthcare

Healthcare and patient-safety coverage — medical negligence, prescription drug prices, and your right to quality, affordable care.
Medicare patients allowed to sue HMOs

Medicare patients allowed to sue HMOs

<h3>Top state court rules in denial-of-care case</h3><p class="source">The San Francisco Chronicle</p> <p>In a major victory for 1.5 million Californians, the state Supreme Court ruled yesterday that Medicare beneficiaries can sue health maintenance organizations for damages when they are denied adequate care.</p>
Medicare Patients Can Sue HMOs

Medicare Patients Can Sue HMOs

<h3>State court rules in favor of consumers' right to seek redress if care is improperly denied.</h3><p class="source">Los Angeles Times</p> <p>Medicare patients in California may sue health maintenance organizations for denying necessary but expensive medical treatment, the California Supreme Court decided Thursday.</p>
Limits and recourses

Limits and recourses

<p class="source">The Orange County Register</p> <p>A ruling by the California Supreme Court that Medicare-contracted HMO patients can sue their health maintenance organizations doesn't apply to people who receive their health coverage through a private employer.</p>
Arbitration records sealed

Arbitration records sealed

<p class="source">Sacramento Bee</p> <p>The California Department of Managed Health Care has denied a consumer group's petition to make public the records of HMO arbitration hearings, citing its legal obligation to keep the information confidential.</p>
Aetna names new head of medical operations

Aetna names new head of medical operations

<p class="source">The Associated Press</p> <p>Aetna Inc., still mending fences with physicians over its managed care policies, on Thursday appointed a California HMO executive to the position of chief of medical operations.</p>
California Court Upholds Patient’s Right to Sue an H.M.O.

California Court Upholds Patient’s Right to Sue an H.M.O.

<p class="source">The New York Times</p> <p>In a decision that makes it easier for Medicare patients to sue their health maintenance organizations, the California Supreme Court ruled yesterday that the widow of an Orange County businessman was entitled to seek compensation under state tort laws.</p>
Reduce your risk in the managed care jungle.

Reduce your risk in the managed care jungle.

<p class="source">RN</p> <p>"This court had no choice but to pluck ... [the plaintiff's] case out of the state court in which she sought redress ... and then ... to slam the courthouse doors in her face and leave her without any remedy."</p>
Vitals

Vitals

<h3>ARBITRATION RECORDS.</h3><p class="source">Modern Physician</p> <p>A California group has petitioned the state's Department of Managed Health Care in an attempt to make public all medical arbitration records.</p>
Access to arbitration records sought

Access to arbitration records sought

<p class="source">Modern Healthcare</p> <p>Sparking outrage from health plans, two California consumer groups have filed a petition to make records of arbitration hearings between HMOs and patients public information.</p>