Navigation Links
Southern California Hospital System Sues Kaiser Permanente for Managing Bills Rather Than Managing Care
Date:2/13/2008

that HMOs like Kaiser fairly and properly reimburse providers of emergency medical services because otherwise more hospitals may be forced to close". Mr. Krissman commented further that "Prime Healthcare had no choice but to file lawsuits against Kaiser in order to ensure continued access to healthcare for the members of the communities in which its hospitals are located."

In contrast to financially distressed hospitals, Kaiser reported profits of $1.3 Billion in 2006 and $2.5 Billion in 2007. This is not surprising given that although insurance premiums have increased; the amount of revenue spent on patient care has remained the same or decreased. Rather than spending the increased premiums on patient care, HMOs are using the money on increased layers of bureaucracy and middle management whose job it is to refuse necessary patient care, deny provider claims or find other ways to not pay provider claims properly. According to Dr. Prem Reddy, a board certified Cardiologist and Chairman of Prime Healthcare Services, "HMOs, including Kaiser, ought to be focused on effectively managing patients' care; but unfortunately, they are focused on managing bills". Also, in order to implement a process of working efficiently with Kaiser, Dr. Hassan Alkhouli, Medical Director of Prime Healthcare's Orange County Hospitals, attempted numerous times to arrange for a meeting with Kaiser's utilization managers to address utilization issues but his telephone calls went unanswered.

According to Prime Healthcare, Kaiser's tactics to avoid properly paying claims include making repeated and unnecessary demands for medical records, denying reimbursement for emergency medical services under the guise that the care was not medically necessary even though the Prudent Layperson Standard is met on every occasion, retrospectively reviewing claims for emergency care, and demanding the transfer of Kaiser members to Kaiser's hospitals with no regard to the patients' medical condition
'/>"/>

SOURCE Prime Healthcare Services
Copyright©2008 PR Newswire.
All rights reserved

Page: 1 2 3 4 5

Related medicine news :

1. Latest Salvo Fired in Frozen Yogurt Wars as Southern Californias Fastest-Growing Franchise - Cefiore - Launches New Chocolate Flavor
2. Bald Women Get Their Heads Together in Southern California
3. Gerresheimer Expands its Pharmaceutical Plastic Operations Into Southern Europe and South America
4. OneBeacon Appoints Southern Marine & Aviation Inc.
5. Southern Research Institute Names Vladimir Yamshchikov Director of Infectious Disease Research Department in Birmingham
6. Edwards Lifesciences to Present at the Southern California Investor Conference
7. Halloween Events in Southern California Bring Young and Old Together for a Ghoulish Good Time
8. DaVita Emergency Response Efforts Ensure Vital Treatment for More than 700 Kidney Failure Patients in Need of Life-Saving Dialysis Treatments in Areas Affected by Southern California Wildfires
9. American Red Cross Blood Services Supports Blood Needs of Southern California
10. American Red Cross Blood Services Supports the Blood Needs of Southern California
11. Blue Cross of California Reaches Out to Members Impacted by Southern California Fires
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:7/25/2014)... 2014 As reported by the Statesman Journal ... Heroin (7/20), police in Salem, MA as well as ... the recent heroin epidemic that has taken many lives during ... heroin-related overdose case in which police were able to make ... phone. By pretending to be the victim and claiming to ...
(Date:7/25/2014)... 25, 2014 Ticket Down ... board for the Guinness International Champions Cup match between ... at Soldier Field on Sunday, July 27th. ... appreciation promo/coupon/offer code SOCCER-2014 for added savings. , 2014 ... diehard soccer fans in North America. Countless international soccer ...
(Date:7/25/2014)... (HealthDay News) -- Seniors are more easily distracted during ... study finds. "Almost any type of memory test ... of 25 on," study co-author Randi Martin, professor of ... release. However, Martin said, this study shows that ... older adults compared with younger adults. The study ...
(Date:7/25/2014)... 2014 Sport Court® provided ... Nike National Invitational Tournament (NIT) in Chicago ... Junior National Tournament (USJN) in Washington D.C. at ... for these prestigious national tournaments included 44 Sport Court ... of playing surface at McCormick Place for the NIT, ...
(Date:7/25/2014)... Island (PRWEB) July 25, 2014 Reproductive ... to announce that Dr. Kerri Luzzo, Lead Physician at ... Award" for her professional accomplishments in fertility care and ... , At the 10th Annual PBN Awards ceremony held ... Island, 40 of the most highly regarded, emerging leaders ...
Breaking Medicine News(10 mins):Health News:Multiple States Crack Down on Heroin Epidemic 2Health News:Liverpool FC vs. Olympiacos FC Tickets Soldier Field: Ticket Down Slashes Ticket Prices for Guinness International Champions Cup in Chicago on Sunday, July 27th 2Health News:Distractions Seem More Troublesome With Age 2Health News:Sport Court Provides All Sports Flooring for Basketball Events in Chicago and Washington D.C. 2Health News:Dr. Kerri Luzzo of the Reproductive Science Center of Providence Receives “40 Under Forty Award" for Outstanding Professional Accomplishments and Community Outreach 2
... Oct. 9 A diverse coalition of,clergy and ... conference,today to urge U.S. Senators John Warner (R-VA) ... Delegation to support legislation that gives,the U.S. Food ... legislation would protect kids from tobacco and save ...
... Oct. 9 The Oregon Rehabilitation,Association (ORA), ... disabled workers this October with National,Disability Employment Awareness ... each October to help increase the public,s awareness ... to the,entire month of October in 1988. ...
... Mental Retardation -, PHILADELPHIA, Oct. 9 ... a ring before birth, they may,disrupt normal development ... The Children,s Hospital of Philadelphia will be investigating,one ... the Ring Chromosome,20 Foundation., Ring chromosome 20 ...
... October marks National,Domestic Violence Awareness Month and ... States are affected by domestic violence each year. ... Cosmetic Dentistry,Charitable Foundation,s (AACDCF) Give Back A Smile ... life by restoring a smile" by providing,free cosmetic ...
... a University of Iowa Research Foundation licensee and ... age-related macular degeneration (AMD) and other chronic diseases, ... startup financing. , The company, which has offices ... into new facilities at the UI,s Oakdale Research ...
... 9, 2007People who experience chronic job strain after a ... a second one, reports a research team from Universit ... of the Journal of the American Medical Association. , ... risks associated with job strain for workers who have ...
Cached Medicine News:Health News:Virginia Faith Leaders Call on Senators Webb & Warner to Cosponsor Legislation to Protect Kids from Tobacco 2Health News:Virginia Faith Leaders Call on Senators Webb & Warner to Cosponsor Legislation to Protect Kids from Tobacco 3Health News:October Is National Disability Employment Awareness Month 2Health News:Grant Supports Study of Abnormal Ring-Shaped Chromosomes 2Health News:600 Smiles Restored Thanks to the AACDCF's Give Back A Smile Program - October Marks National Domestic Violence Awareness Month 2Health News:UI licensee Optherion secures $37 million in financing 2Health News:UI licensee Optherion secures $37 million in financing 3Health News:UI licensee Optherion secures $37 million in financing 4Health News:Chronic job strain doubles the risk of a second heart attack 2
(Date:7/25/2014)... July 25, 2014  CVS Caremark Corporation (NYSE: ... on Tuesday, August 5, 2014, at 8:30 a.m. (EDT) ... 2014 financial results. An audio webcast of ... Investor Relations portion of the CVS Caremark website for ... http://info.cvscaremark.com/investors . This webcast will be archived and available ...
(Date:7/25/2014)... N.J. , July 25, 2014  Acsis ... brand protection and serialization solutions, has recently posted ... that addresses current and future needs for ... for the old supply chain model no longer ... in technology, including the growth of mobile technology, ...
(Date:7/25/2014)... , July 25, 2014 Research ... "Global Ophthalmic Diagnostic Devices Market 2014-2018" report ... About Ophthalmic Diagnostic Device ... used to identify a defect or deficiency in the ... with ophthalmic disorders such as presbyopia, cataracts, glaucoma, retinal ...
Breaking Medicine Technology:Acsis Addresses Questions on the Modern Supply Chain 2Global Ophthalmic Diagnostic Devices Market 2014-2018: Key Vendors are Alcon, Carl Zeiss, Haag-Streit and Topcon 2
... Filtrona Porous Technologies, a developer and manufacturer of ... world, will introduce a new range of hydrophilic, polyurethane ... / COMPAMED trade fair in Dusseldorf, Germany from 16 ... ) New innovations to be featured ...
... Nordisk, a world leader in diabetes care, announced today that ... (DHF), a non-profit organization that raises diabetes awareness ... the success of the Drive the Switch program, which has ... loved ones and their doctor about options for insulin delivery, ...
Cached Medicine Technology:Filtrona Porous Technologies to Introduce New Hydrophilic Foam Products for Advanced Wound Care at the MEDICA / COMPAMED Trade Fair 2Novo Nordisk Donates $50,000 to Diabetes Hands Foundation in Recognition of the Drive the Switch Program's Inaugural Year 2Novo Nordisk Donates $50,000 to Diabetes Hands Foundation in Recognition of the Drive the Switch Program's Inaugural Year 3Novo Nordisk Donates $50,000 to Diabetes Hands Foundation in Recognition of the Drive the Switch Program's Inaugural Year 4Novo Nordisk Donates $50,000 to Diabetes Hands Foundation in Recognition of the Drive the Switch Program's Inaugural Year 5Novo Nordisk Donates $50,000 to Diabetes Hands Foundation in Recognition of the Drive the Switch Program's Inaugural Year 6Novo Nordisk Donates $50,000 to Diabetes Hands Foundation in Recognition of the Drive the Switch Program's Inaugural Year 7
... breakthrough continuous low-flow nebulizer performance. Patented ... technology allows for optimal medication and ... Heliox). OMNI~NEB takes on severe asthma, ... and critical care situations. Configure with ...
... developing diverse medical products for ... medical-surgical products have earned an ... and customer satisfaction. Graham-Fields internationally ... line of diagnostic instruments, Grafco® ...
... metered dose inhalers., ,ACE ensures prompt, ... canisters. Its versatile design allows it to ... conjunction with an endotracheal airway or resuscitation ... may also be used in conjunction with ...
Kit Nebulizer Small Volume Medication W/Pediatric Mask Mouthpiece 7FT O 2 Tubing...
Medicine Products: