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HMO Misconduct Lawyer

If you have experienced an incident of medical malpractice that is a result of HMO misconduct, please contact our offices to discuss your case with one of our veteran injury lawyers. For a FREE consultation, contact us online or call us at 312–332–2872.

Often, HMO members do not have a choice in who is providing their care and they must demand crucial tests and treatments. As HMOs work to keep costs down, patient care may be compromised. HMOs often offer incentives for physicians to keep costs down, resulting in the failure to perform critical treatments because they are costly. Actions for malpractice against HMOs can arise when the HMO delays or denies critical tests, delays or denies particular treatment, or delays or denies referring someone who needs care to a specialist. In addition to delay other potential causes of action may arise if your treatment ended sooner than it should have or if you only received partial treatment.

In some states, HMOs cannot be held liable because of a held liable because of a federal law called the Employee Retirement Income Security Act. This law preempts some state regulations. In Illinois however, HMOs can be liable for medical practice for delay or failure for treatment or other types of misconduct. Although Illinois law allows HMOs to be held liable for misconduct and be sued for malpractice, HMOs may include mandatory arbitration provisions in the contracts they have members sign, which adds a difficult legal challenge that should only be faced with the help of an experienced lawyer.

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How Does Malpractice Arise With HMOs?

Often, HMO members do not have a choice in who is providing their care and they must demand crucial tests and treatments. As HMOs work to keep costs down, patient care may be compromised. HMOs often offer incentives for physicians to keep costs down, resulting in the failure to perform critical treatments because they are costly. Actions for malpractice against HMOs can arise when the HMO delays or denies critical tests, delays or denies particular treatment, or delays or denies referring someone who needs care to a specialist. In addition to delay other potential causes of action may arise if your treatment ended sooner than it should have or if you only received partial treatment.

In some states, HMOs cannot be held liable because of a held liable because of a federal law called the Employee Retirement Income Security Act. This law preempts some state regulations. In Illinois however, HMOs can be liable for medical practice for delay or failure for treatment or other types of misconduct. Although Illinois law allows HMOs to be held liable for misconduct and be sued for malpractice, HMOs may include mandatory arbitration provisions in the contracts they have members sign, which adds a difficult legal challenge that should only be faced with the help of an experienced lawyer.

HMO Misconduct Lawyer

Of course, people who are healthy under their HMO plans rarely have reason to criticize or sue their health care provider. However, it is often the people who need the most health care, or who are the sickest who get mistreated by HMOs because their health care costs are so much more expensive.

Medical malpractice lawsuits arise when physicians delay or fail to deliver proper care because of restrictions from HMOs. Our Chicago medical malpractice lawyers are experienced at handling cases involving HMO misconduct. In one case, our attorneys achieved a $7.6 million verdict against an HMO for failing to diagnose our 32–year–old client’s abnormal bleeding after the birth of her daughter.

$7.62 million

Verdict

against an HMO doctor who disregarded the mother’s complaints of postpartum bleeding, which resulted in her bleeding to death.

$1 million

Settlement

against an HMO doctor for failing to diagnose and treat a failing artificial heart valve, which resulted in the patient’s death.

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