May 17, 1997 |
In a scathing review of one of California's largest dental HMOs, state regulators Friday accused Western Dental Services of providing "shoddy, dangerous" medical care and showing a "contemptuous disregard" for patients, many of whom are poor or speak little English. "While this type of assembly line operation may be perfectly acceptable in the meatpacking industry, it has absolutely no place in the practice of dentistry," a lawsuit by the state Department of Corporations declares.
January 30, 1997 |
A federal appeals court has reinstated the legal claims of 20 anesthesiologists who challenged an HMO's authority to dictate standards of patient care. The three-judge panel of the U.S. 2nd Circuit Court of Appeals ruled that federal Judge Denise Cote in New York was wrong to throw out the antitrust lawsuit the doctors filed against Aetna Health Plans Inc.
October 18, 1995 |
A three-member arbitration panel has slapped the state's second-largest health maintenance organization with a $1-million judgment for improperly denying a breast-cancer patient a bone-marrow transplant and then pressuring her doctor to reverse his support of the treatment. The latter action by Health Net, the arbitrators found, amounted to "extreme and outrageous behavior exceeding all bounds usually tolerated in a civilized society."
May 16, 1995 |
In a case that underscores the shrinking options available to patients with complaints about their medical care, the U.S. Supreme Court on Monday refused to allow a California woman to sue her HMO in state court over allegations that it contributed to her son's 1991 death by denying experimental treatment for his cancer. The court declined without comment to overturn federal district court and court of appeals rulings against the mother, Billie J. Comer of Pleasanton.
November 30, 1994 |
Health Net has sued a Florida insurance rating service for libel and slander after it published a study that says the health maintenance organization was financially weak and gives it a report card-like grade of "D." Woodland Hills-based Health Net has asked a federal judge to block publication of the unfavorable rating by Weiss Ratings Inc., of Palm Gardens, Fla. The rating was published earlier this month in a report, titled "How Safe Are the Largest Health Maintenance Organizations?
July 29, 1994 |
In a case that adds fuel to a national health care debate, a Superior Court jury in Los Angeles Thursday awarded damages of $312,000 to a Tustin woman whose insurer had refused to pay for an expensive breast cancer treatment that she believes saved her life.