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Don't Let Your HMO Kill You : How to Wake Up Your Doctor, Take Control of Your Health, and Make Managed Care Work for You

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Title: Don't Let Your HMO Kill You : How to Wake Up Your Doctor, Take Control of Your Health, and Make Managed Care Work for You
by Jason, Dr Theodosakis, David T. Feinberg
ISBN: 0-415-92482-0
Publisher: Routledge
Pub. Date: January, 2000
Format: Paperback
Volumes: 1
List Price(USD): $14.95
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Average Customer Rating: 5 (8 reviews)

Customer Reviews

Rating: 5
Summary: HMO's
Comment: My 85-year-old mother recently fell and severely fractured her hip. Unfortunately, she belongs to a Medicare HMO based in Southern California. Because of the nature of her fracture, she required pinning of her femur, a more extensive procedure than the usual treatment for hip fractures. The HMO which was contractually responsible for her care denied payment to the Skilled Nursisng Facility after l8 days, in spite of written reports from her physical therapists and her doctor detailing the remarkable progress she was making. Thanks to this book, we were able to appeal the HMO's denial, which was immediately again denied by the HMO. The appeal then went on to HCFA for review and the denial was reversed. This has saved my mom thousands of dollars. It should be required reading for anyone involved with HMO's!

Rating: 5
Summary: Required reading for people with health insurance
Comment: As a physician who has dealt with many HMOs, I believe this will become the premier guide for people to get the best care out of whatever system they're using. It is about time someone put all of the secrets and resources in one place. Medicine has changed significantly in the last few years - right under the noses of most patients and doctors. It's caused frustration as quality care has diminished. This book will help you get back in charge. I think it should be given out by insurance plans as a guide to how patients should use the system. Congrats to the authors!

Rating: 5
Summary: Care Package for Patients
Comment: Read this before you go to the doctor! It explains how to work with your doctors, rather than against them, to get the care you need. It points out why the red tape exists, why the doctors are bound by it, and how the two of you can get around it. This book should be issued to every patient. It will benefit doctors and patients alike.

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