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January 11, 2007

Managed Care Plan Reimbursement Limits are Harmful for Residents

Managed care plan administrators choose what kind of medical procedures and medications are covered by their plans.  If a nursing home feels that it is not going to be reimbursed for particular procedures, administrators may instruct staff members to avoid doing those procedures as much as possible.  This can mean that the staff members feel that they should not perform specific procedures, leading to serious illness or even death in patients who needed those procedures to survive.  Cost-cutting should not be a reason to skip expensive procedures that are needed by residents, but nursing home administrators will try to justify this type of tactic by claiming that losing out on reimbursements puts the facility at risk for not being able to properly care for residents.  If your loved one has become ill due to cutbacks on medical equipment and procedures, contact a California nursing home abuse lawyer who can instruct you on what to do when this type of situation occurs.  While some managed care plans do provide good levels of reimbursement to nursing homes, others try to cut corners so they can make the most money.  If a loved one was involved in this type of cost-cutting, you need the assistance of a skilled San Bernardino nursing home abuse attorney.  A skilled attorney will be able to guide you through the legal system, explain how everything works, and explain any legal terminology or proceedings you may not understand.  Spending money on a lawyer will result in a great return on your investment just because of the valuable information you can get from someone who is experienced in handling nursing home abuse and neglect cases.  Do what’s best for you and your loved one and hire an experienced California nursing home abuse lawyer. 

The Nursing Home Neglect Law Offices of Young and Wallin provides free consultations to all those in need. If you suspect a loved one may be the victim of nursing home neglect or abuse contact Mr. Young immediately to explore your options and preserve your rights. Elder Abuse Attorney Michael Young handles cases throughout California including Fresno, Bakersfield, San Diego, as well as nursing home abuse cases in Riverside, Los Angeles, Orange County and San Bernardino. Mr. Young is also will and able to handle nursing home neglect cases in Northern California including San Francisco, San Jose and Sacramento.

Why Your Loved One's Managed Care Plan May Put Them at Risk

Managed care plans often have their hands in medical equipment sales and medical supply sales.  This means that nursing homes may be leaned on by managed care companies to procure medical supplies and equipment from preferred vendors.  If there are no preferred vendors, the nursing home administrators may be instructed to order the supplies and equipment that have the lowest prices.  This means that the quality of all of this equipment can be compromised.  Inexpensive doesn’t always mean low quality, but when it comes to medical supplies and equipment, quality should be the top concern of nursing home administrators.  Buying the least expensive equipment can lead to having damaged breathing machines, faulty heart monitors, and even faulty equipment for simple tasks like checking blood pressures and temperatures.  When this happens, the medical care of the residents is being based on faulty information.  This can lead to serious illnesses, injuries, or even death all because the managed care company wanted to save a few dollars.  It is up to the administrators of your loved one’s nursing home to do what is best for residents.  If this means coming up with a way to get better medical equipment, then they should be responsible for procuring the medical equipment that will do the best job, not the one that is the cheapest.  If your loved one has suffered due to cost-cutting measures, you need to contact an Orange County nursing home abuse attorney so that you have the best possible representation for your case.

If you have questions or comments and have concerns about the care a loved on is receiving at a California nursing home facility please feel free to contact Nursing Home Neglect Attorney Michael Young for a FREE NURSING HOME ABUSE CONSULTATION on your nursing home abuse matter. The California Nursing Home Abuse Law Offices of Young and Wallin has offices throughout southern California to serve you including an elder abuse law office in Orange County, Riverside and San Bernardino County. Mr. Young handles nursing home neglect cases throughout the state of California on a case by case basis.

©2006 The Law Offices of Young & Wallin
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