Benefits

As an Ameri support employee, there atomic number 18 certain benefits that are elected and nonelected. These benefits help employers to attract and retain quality talent. whiz such benefit is employer provided health amends; more specifically Health Maintenance Organizations (health maintenance organizations). An HMO is contracted to provide medical services for a fixed fee from each client. downstairs this model, if the customer never gets sick, the HMO gets to keep her premium payments. However, if the customer becomes ill, the HMO is responsible for providing medical services, even if the costs top out the premiums (Abtahi, Ali, pg.33, 2000). At one point since the existence of the healthcare system, HMOs were considered the best choice to have amongst employees. So, why are HMOs being looked at unfavorably directly? Imagine needing a medical intervention, and being told that it was not a necessity; therefore your request was denied. Now, imagine the entity that denied the request was your insurance provider, and had the support of the law behind them. Unfortunately, this is a common reward within an HMO. In fact, HMOs are back up by a loophole in the ERISA Act. This loophole limits the amount that the insured can collect from an HMO.

In the article that I read, it mentioned the liability agent associated with HMO physicians, and one key liability issue is an overladen physician, and the ramifications of such. Listed below is the case of Jones v. Chicago HMO LTD (Abtahi, Ali, pg.33, 2000): On January 18, 1991, Sheila Jones three-month-old fille Shawndale became sick. Mrs. Jones belonged to Chicago HMO. Following the HMOs instructions, Jones called her assigned provider, Dr. Jordan, but the fasten was not available. When Mrs. Jones insisted on speaking with the doctor, she was told that Dr. Jordan would harvesting her call. Dr. Jordan did not return Jones call until late that evening. After Mrs. Jones described her daughters symptoms, Dr. Jordan recommended that Jones supply castor oil to her... If you want to get a unspoilt essay, order it on our website: Orderessay

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