Re: Corporations and Insurance are taking away your rigth to due process-Including Injured workers s

Author Subject: Re: Corporations and Insurance are taking away your rigth to due process-Including Injured workers s
Marty Posted At 12:27:05 02/27/2000
This is just one more example of insurance companies putting profits over lives. As long as there's insurance adjusters with absoulutely no decent "human qualities" who are willing to sell their souls for a paycheck these things are going to continue to happen regularly.
First State Malpractice Suit Filed Against HMO in Texas

The family of a man who killed himself after he was discharged from a psychiatric ward has filed what is believed to be the first malpractice lawsuit against an HMO under a new Texas law permitting such suits. The man's family alleges that a doctor working for the health maintenance organization, NYLCare, persuaded the hospital to discharge him "even though he was not yet medically stable." Texas is the only state that has such a law.
A federal judge in Houston upheld the law in September.
Politicians, especially those in Oregon say "insurance companies can be trusted". They say this while filling their pockets with campaign contributions and other non-disclosed bribes. Yet one of the largest MCOs is caught red handed stealing tens of millions.
Medical Secrets?

A federal court in Fort Myers, Fla. partially unsealed affidavits from FBI investigators concerning evidence discovered in a series of searches of Columbia/HCA facilities and offices. The declarations describe a pattern of allegedly fraudulent Medicare billing for nonreimbursable costs, and an accounting system that included contingency funds to allow for some nonreimbursable costs being "caught" by federal auditors. Columbia/HCA spokespersons were unavailable for comment.


Lawyer to the ER . . . Stat!

The United States indicted three Columbia/HCA Healthcare Corporation executives for conspiring to defraud the government "by impairing, impeding, obstructing and defeating the lawful functions of governmental agencies which engage in the management and administration of federal health care programs", namely: Medicare and CHAMPUS. Counsel for the indicted executives declined comment. Read the indictment.


Bad Billing

A union health plan initiated a class action against Columbia HCA Healthcare Corp. for RICO violations. Plaintiffs allege Columbia HCA used a pattern of fraudulent billing carried out by interstate telephone wires to enrich itself. A federal criminal investigation of possible Medicare fraud by Columbia HCA is ongoing. Read the complaint.

Just one more example of insurance companies being above the law and doing whatever they please since they have politicians in their hip pockets.
Has Prudential Learned Its $1 Million Lesson?

Plaintiffs' counsel in a class action against Prudential Insurance Co., sent a letter to a federal judge alleging that Prudential recently discarded approximately 1,200 client record documents related to the litigation. U.S. District Judge Alfred Wolin of Newark, NJ had previously fined Prudential $1 million in sanctions for negligence leading to the destruction of client record documents.
Consumers pay the price at the end just because Smith-Kline learned well from similar schemes of outright theft by insurance companies. For the insurance companies is this an example of "what goes around, comes around." Can you imagine the billions Oregon government could recover if they devoted one-tenth the energy to go after the real theives instead of concentrating on just injured workers in workers' comp.
But then you would have the money to pay people like Gene Derfler and Keven Mannix to "sell-out" their own constituents.
Health Insurers Cry RICO

Thirty-seven large health insurance providers sued SmithKline Beecham Clinical Laboratories, alleging the $1 billion a year testing company deliberately carried out a number of schemes for systematically inflating costs on tests requested by physicians, with costs being borne by patients' health insurers, i.e., the plaintiffs. In a statement, SmithKline called the claims in the suit "grossly exaggerated," and "denied defrauding any insurance companies." Read the complaint.

Also.....A Too Generous Bounty?

By settling a series of lawsuits against SmithKilne Beecham Corp. and its SmithKline Beecham Clinical Laboratories subsidiary, the U.S. recovered over $330 million in Medicaid overcharges. Then a federal court in Pennsylvania addressed the issue of payments to those who filed three underlying qui tam actions. The court ordered the U.S. to pay $42 million to the parties behind those actions in a 75-page opinion that addresses arguments from a government reluctant to concede it needed any help.
LYNDA-PEARL Re: Corporations and Insurance are taking away your rigth to due process-Including Injured workers s (Currently 0 replies)
Posted At 13:41:46 04/17/2000

being an injured worker, i am beginning to see the insanity of "THE SYSTEM" at hand, and the way insurance companies ie:SELF INSURED,destroy the lives of decent hard working americans. i have become an advocate in this arena and will continue to fight for my rights. we all need to send letters to congress, our local government and unite together to eradicate this injustice that is bestowed upon injured workers. WE ARE STRONGER IN NUMBERS!!!

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