Parry Deering Futscher & Sparks is prosecuting and investigating fraud
and deceptive practices in the sale of health insurance and the
provision of health care by Managed Care Organizations (MCOs) and
Health Maintenance Organizations (HMOs). Parry Deering Futscher &
Sparks is also investigating the false reporting and inflated billing
of charges by health care providers and insurance companies to the
federal government under the Medicare program.
Many insurers, MCOs and HMOs offer financial incentives to reduce
necessary medical services or to refer patients to affiliated or
related providers. Health insurers may also prohibit your primary care
physician from discussing all treatment options with you or provide
financial incentives for discouraging such services or treatments.
We have found that some health insurance companies purport to offer
a "group" health insurance program to a "select" group or association.
These insurers then regularly close or cut-off new enrollment in that
particular group. Health insurance makes health care affordable by
spreading the cost of the less health insureds among the entire group.
When a group is closed or cut-off there are less people among which to
spread the risk and the end result is that premiums for the coverage
regularly increase and the healthy insureds that can obtain coverage
elsewhere leave the group. This leaves the less healthy insureds that
cannot obtain coverage elsewhere stuck or forced into paying the
ever-increasing premiums. This practice is commonly called a "death
spiral."
If you believe that you are the victim of fraud or deceptive
practices in the sale of health insurance or the provision of health
care by a health insurer, MCO, or HMO you may
contact us