HMO's

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two doctors and an hmo manager died and lined up at the pearly gates for admission to heaven. st. peter asked them to identify themselves.

one doctor stepped forward and said, "i was a pediatric spine surgeon and helped kids overcome their deformities." st. peter said, "you can enter."

the second doctor said, "i was a psychiatrist. i helped people rehabilitate themselves." st. peter also invited him in.

the third applicant stepped forward and said, "i was an hmo manager. i helped people get cost-effective health care." st. peter said, "you can come in, too."

but as the hmo manager walked by, st. peter added, "you can stay three days. after that, you can go to hell."

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Specializes in Pediatric/Adolescent, Med-Surg.

:chuckle

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Specializes in Management, Emergency, Psych, Med Surg.

One night we had a guy arrive at our ED, cardiac arrest, CPR in progress. We got him back and he went immediately to the cath lab and then to surgery. His HMO would not pay the bill. 1. It was not an emergency 2. our hospital was not on the approved hospital list for their contract 3. The cath and surgery were not pre approved. 4. We should have transferred the patient to one of their contracted facilities.

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One night we had a guy arrive at our ED, cardiac arrest, CPR in progress. We got him back and he went immediately to the cath lab and then to surgery. His HMO would not pay the bill. 1. It was not an emergency 2. our hospital was not on the approved hospital list for their contract 3. The cath and surgery were not pre approved. 4. We should have transferred the patient to one of their contracted facilities.

That's crazy, Diane, and proof the inmates are running the asylum!

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One night we had a guy arrive at our ED, cardiac arrest, CPR in progress. We got him back and he went immediately to the cath lab and then to surgery. His HMO would not pay the bill. 1. It was not an emergency 2. our hospital was not on the approved hospital list for their contract 3. The cath and surgery were not pre approved. 4. We should have transferred the patient to one of their contracted facilities.

oh my lord that is nuts....so him on the edge of death, heart not working (according to them) is not an emergancy? nuts nuts nuts

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Specializes in L&D.

A HMO tried to deny coverage for the care of my newborn because while my hospitalization (to give birth) had been preapproved, my child's had not. HMOs are the devil.

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