HMO Complaints and Appeals
Author: Bernice Steinhardt
Publisher: DIANE Publishing
Published: 1999-05
Total Pages: 54
ISBN-13: 0788179756
DOWNLOAD EBOOKMany people experience difficulties with their HMOs. This report examines: (1) what elements are considered important to a system for processing HMO member complaints and appeals; (2) the extent to which HMOs complaint and appeal systems contain these elements; (3) what concerns consumers have regarding HMO complaint and appeal systems; (4) what information is available on the number and types of complaints and appeals HMOs receive from their members; and (5) how HMOs use their complaint and appeal data. Assesses whether the policies and procedures contain the features recommended by regulatory, industry, and consumer groups.