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Health Maintenance Organizations
Southern California Hospital System Sues Kaiser Permanente for Managing Bills Rather Than Managing Care
March 1st, 2008
Prime Healthcare Services announced that eight of its hospitals have filed lawsuits in four different Southern California counties against Kaiser Permanente seeking more than $25 Million for Kaiser's failure to properly pay thousands of claims for emergency medical services provided to Kaiser's HMO members. Under both federal and California law, each of these hospitals were required to provide medical screening examinations to each patient who sought emergency care and such further stabilizing care as was necessary to stabilize the patient's emergency medical condition regardless of the patient's insurance status. Kaiser, as well as other HMOs, is required to reimburse the hospitals for...
Source: Law & Health Weekly (2008-03-01)
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