|Coping with Managed
|How to Fight Your HMO and Win||When care is denied,
dont give up fight! Superb advice is offered
here on how to present your case to the HMO, how to
prepare for hearings and appeals, where to find support
and what to expect as you go through the process.
|Patient Advocacy Services||New Mexico-based firm
specializes in representing individuals and organizations
to appeal the denial of payment for care. Its not
clear whether PAS can directly represent persons outside
of New Mexico, but there is a wealth of information on
this site to assist anyone to deal with an HMO appeal.
|Center for Patient Advocacy||Complex but interesting site
offering press releases, support for patient advocates
and common-sense advice on how to get competent service
out of your HMO.
|Medicare Managed Care|
|How Managed Care Works Under Medicare||The Medicare Handbook, by the
Health Care Finance Administration, explains how Medicare
provides services through managed care. You wont
find any criticism here, but there is lots of good
information about how the program works (or should work).
|Medicare HMO Appeals||Brief discussion of appeals if
you receive Medicare coverage through an HMO. Offered by
Bet Tzedek Legal Services, a non-profit firm in
|Resources for Professionals|
|Insurance Resources||NILS Publishing offers a
complete library of insurance statutes and treatises for
those who need technical information about the regulation
of HMOs. Order books online.
|Claims Against HMOs||The Health Administration
Responsibility Project offers strategies and legal
research to support claims against HMOs for
irresponsible denial of care. Written for lawyers but you
will find it interesting if you have a dispute presently
with your HMO.
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