Health Insurance Litigation

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 (MCO’s) and Health Maintenance Organizations (HMO’s). 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, MCO’s and HMO’s 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 for more information.

Village of Penland & Peerless
Credit Life Insurance
Denial of Disability Insurance Benefits


AIK Comp.
Lawson v. American Bankers
 
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