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Related Experiment Videos

Subscriber suits: how to avoid them.

S M Lloyd, B S Elkins

    Health Care Strategic Management
    |February 9, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Health maintenance organizations (HMOs) and preferred provider organizations (PPOs) face significant liability risks. This article outlines twelve key risks and offers strategies for mitigating potential legal challenges.

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    Area of Science:

    • Healthcare Law
    • Risk Management
    • Health Insurance

    Background:

    • Health maintenance organizations (HMOs) and preferred provider organizations (PPOs) are increasingly integral to healthcare delivery.
    • Their growing prominence elevates their status as potential targets for litigation.

    Purpose of the Study:

    • To identify major liability risks faced by HMOs and PPOs.
    • To outline protective measures against these risks for organizations and their service providers.

    Main Methods:

    • Review of legal precedents and industry practices.
    • Analysis of common litigation areas impacting managed care organizations.

    Main Results:

    • Identification of twelve distinct categories of significant liability risks.

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  • Examples include corporate negligence, vicarious liability, and contract disputes.

    • Conclusions:

    • Proactive risk management is crucial for HMOs and PPOs.
    • Implementing specific protective strategies can minimize legal exposure and financial dampak.