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Arbitration Emereges a Troublesome Issue for HMOs

By: Sanders, Edmund | THE JOURNAL RECORD, December 14, 1994 | Article details

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Arbitration Emereges a Troublesome Issue for HMOs


Sanders, Edmund, THE JOURNAL RECORD


LOS ANGELES _ Terre Wertz said she was told everything was going fine with her pregnancy. But her son was born with multiple birth defects, which she believes should have been detected with better prenatal care.

She decided to sue her health plan, Cigna Health Plan of California, but the suburban Sylmar, Calif., resident found that she could not.

When she joined the HMO years earlier, Wertz said, she unknowingly signed away her rights to a court trial and agreed to settle all disputes through arbitration.

Whether they know it or not, millions of Californians have done the same.

Most California health maintenance organizations require their …

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