Advertisement
YOU ARE HERE: LAT HomeCollectionsHealth Maintenance Organizations Suits
IN THE NEWS

Health Maintenance Organizations Suits

FEATURED ARTICLES
BUSINESS
April 7, 1994 | DON LEE, TIMES STAFF WRITER
Health Net, the state's second-largest health maintenance organization, said Wednesday it agreed to settle a case in which a Riverside County jury ordered the HMO to pay $89 million for denying a costly, experimental treatment to a woman with breast cancer.
ARTICLES BY DATE
BUSINESS
September 8, 1999 | From Times Staff and Wire Reports
The California Medical Assn. plans to announce today the filing of a lawsuit that accuses the state's biggest health maintenance organizations of failing to ensure that doctors are paid for treatment provided to HMO patients. The lawsuit is the latest action in the CMA's months-long efforts to force health plans to pay doctors separately when medical groups go bankrupt--even if the health plan has already paid the groups it contracts with.
Advertisement
BUSINESS
January 12, 1993 | JAMES F. PELTZ, TIMES STAFF WRITER
For Health Net, the big health maintenance organization based in Woodland Hills, Qual-Med Inc. of Colorado must seem like a rash that won't go away. It's been nearly a year since Health Net's controversial plan to switch from a nonprofit to a for-profit company was approved by Thomas S. Sayles, California's corporations commissioner. The plan requires Health Net to provide $300 million over 15 years to a newly formed charitable foundation.
BUSINESS
June 12, 1997 | DAVID R. OLMOS, TIMES STAFF WRITER
Plaintiffs' lawyer Mark Hiepler has made a career out of battling California HMOs, winning several high-profile judgments and earning a reputation for employing new legal weapons in his cases. The Oxnard attorney gained national attention in 1993 for winning an $89.1-million verdict--later settled for a lesser sum--against Health Net on behalf of his late sister, Nelene Fox, over the HMO's refusal to pay for a bone marrow transplant to treat her breast cancer.
BUSINESS
September 8, 1999 | From Times Staff and Wire Reports
The California Medical Assn. plans to announce today the filing of a lawsuit that accuses the state's biggest health maintenance organizations of failing to ensure that doctors are paid for treatment provided to HMO patients. The lawsuit is the latest action in the CMA's months-long efforts to force health plans to pay doctors separately when medical groups go bankrupt--even if the health plan has already paid the groups it contracts with.
BUSINESS
July 29, 1994 | THOMAS S. MULLIGAN, TIMES STAFF WRITER
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.
BUSINESS
December 25, 1991 | ANNE MICHAUD, SPECIAL TO THE TIMES
Critics of FHP International Corp. reacted with disappointment to news this week that the health-maintenance organization had been given a near-clean bill of health after a six-month federal investigation into its sales methods to seniors. "I think we will gradually start seeing the same abuses as before because (FHP) got away with it," Dr. Ronald Bronow, president of an anti-HMO group called Physicians Who Care, said Tuesday.
BUSINESS
January 30, 1997 | Times Staff and Wire Reports
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.
BUSINESS
February 11, 1995 | DAVID R. OLMOS, TIMES STAFF WRITER
Last November, Edward Ivy, 68, stopped to talk to two men who had set up a table in the lobby of his government-subsidized apartment building in San Francisco. Ivy says the two men--sales representatives for Foundation Health Corp.--told him that he could avoid "cuts in Medi-Cal" and keep his favorite doctor and pharmacist if he signed up for Foundation's health plan for low-income people. So he signed up.
BUSINESS
November 30, 1994 | DAVID R. OLMOS, TIMES STAFF WRITER
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?
NEWS
May 17, 1997 | DAVID R. OLMOS, TIMES STAFF WRITER
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.
BUSINESS
January 30, 1997 | Times Staff and Wire Reports
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.
BUSINESS
October 18, 1995 | MICHAEL A. HILTZIK, TIMES STAFF WRITER
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."
BUSINESS
May 16, 1995 | MICHAEL A. HILTZIK, TIMES STAFF WRITER
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.
BUSINESS
February 11, 1995 | DAVID R. OLMOS, TIMES STAFF WRITER
Last November, Edward Ivy, 68, stopped to talk to two men who had set up a table in the lobby of his government-subsidized apartment building in San Francisco. Ivy says the two men--sales representatives for Foundation Health Corp.--told him that he could avoid "cuts in Medi-Cal" and keep his favorite doctor and pharmacist if he signed up for Foundation's health plan for low-income people. So he signed up.
BUSINESS
November 30, 1994 | DAVID R. OLMOS, TIMES STAFF WRITER
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?
BUSINESS
May 16, 1995 | MICHAEL A. HILTZIK, TIMES STAFF WRITER
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.
BUSINESS
October 18, 1995 | MICHAEL A. HILTZIK, TIMES STAFF WRITER
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."
BUSINESS
July 29, 1994 | THOMAS S. MULLIGAN, TIMES STAFF WRITER
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.
BUSINESS
April 7, 1994 | DON LEE, TIMES STAFF WRITER
Health Net, the state's second-largest health maintenance organization, said Wednesday it agreed to settle a case in which a Riverside County jury ordered the HMO to pay $89 million for denying a costly, experimental treatment to a woman with breast cancer.
Los Angeles Times Articles
|