Can HMOs Be Sued for Medical Malpractice? Insights from a Medical Malpractice Attorney

Are HMOs Immune From Suit?

There is no short answer to whether Health Maintenance Organizations (HMOs) are immune from lawsuits in medical malpractice situations. While HMO doctors can be sued personally, the issue becomes complex when attempting to sue the HMO corporation itself. This matter is actively debated in state and federal courts across the nation. HMOs often argue that the federal statute known as ERISA (Employee Retirement Income Security Act) preempts all state medical malpractice laws that might apply to them. Some courts have agreed, while others have not. Many courts have indicated that the outcome depends on the specific details of the case being presented.

HMO Liability in Florida

Florida courts are still addressing the issue of HMO immunity, similar to courts in other states. Generally, Florida courts, including federal courts in Florida, have suggested that HMOs can be held liable if they are sued for providing negligent care. However, if the lawsuit pertains to an internal decision regarding what medical procedures the insurance plan will or will not pay for, HMOs might be immune from liability. These laws and court decisions are continually evolving. If you have a dispute with an HMO, it is crucial to find a law firm experienced in handling HMO disputes.

Key Considerations in Suing HMOs

• Types of Medical Malpractice: Common types of medical malpractice include surgical errors, medication errors, and misdiagnoses.
• Collecting Medical Records: Thoroughly reviewing medical records is essential for building a strong case.
• Proving Negligence: Establishing that the medical professional failed to meet the expected standard of care in the doctor-patient relationship.
• Filing a Medical Malpractice Claim: Ensuring the claim is filed within the statute of limitations and other time limits.
• Navigating Comparative Negligence: Understanding how comparative fault rules might apply to your case.

Why You Need an Experienced Medical Malpractice Lawyer

Handling cases involving HMOs and medical malpractice requires a deep understanding of both federal and state laws. An experienced medical malpractice attorney can help you navigate the complexities of filing a medical malpractice case against an HMO. They will gather necessary medical records, consult with medical professionals, and build a robust case to ensure that you receive the compensation you deserve.

Our Commitment

We handle cases involving Florida medical malpractice. We are proud that every case we bring is about more than obtaining compensation for our clients. Fair compensation is important, but we are motivated by a higher calling, and we will only represent clients who are motivated, at least partly, by the same mission.

Conclusion

The issue of HMO immunity in medical malpractice cases is complex and evolving. Consulting with an experienced medical malpractice attorney is essential to understanding your rights and navigating these challenges. They will provide valuable guidance on filing a medical malpractice claim and pursuing justice.