Managed Care

090424_CSCS_APE30
Legally Reviewed by
Allan Siegel

Updated 1 year ago

Sheldon describes how a routine elective surgery left his wife with permanent anoxic brain injury, requiring around-the-clock care. Attorney Joseph Cammarata took the case to trial and secured a jury verdict exceeding $35 million — a record in the Commonwealth of Virginia at the time.

Sheldon (00:05): In October of 2015, which we just hit our nine-year anniversary, my wife went in for elective back surgery. And the course of that surgery, the surgeon nicked a stomach artery coming from the back and it took them 22 minutes to figure out how to stop the bleeding. They didn’t know where it was coming from. So essentially my wife coded for 22 minutes, no oxygen, no blood getting to the brain, she should have died. But they finally sutured her up and she lived because she’s a fighter, but she now and then had anoxic brain injury and nine years later she still can’t perform any of the activities of daily living. She never will be able to. She’s incontinent. She requires a caregiver 24/7, and I’m that caregiver about 70% of the time. My kids were 13 and 16 at the time. So I had to kind of say, well, mommy’s not coming home from the hospital the next day, and eventually your mother’s not going to be coming home the same.

Sheldon (01:00): So they now kind of take care of her and they don’t have a mom anymore that they knew, and I can’t replace her in that sense. Her salary and she was working at the time, was going to go to the college education and I was working. So it changed a lot of things, but primarily we just lost the person we knew to love. So at the point when I finally realized I wanted to get some legal assistance, I shopped around a little bit and then I thought about Joe and I’m glad I did. So I came to this office and we talked about the case and he was aware that she’d been injured, but didn’t know any of the details, and he looked into it and said, this is a case I want to take on. I want to help you guys. The jury voted in favor of us.

Sheldon (01:49): The award was the highest in this Commonwealth of Virginia at the time. It was excess of 35 million. Help you address it. Do you know that I had anoxic brain interest? You do. So if I was in my shoes again or talking to someone about what they would do, I would call this firm. I think they’re really great. They’re good people. They’ve been doing this for a long time. So I just think you would get a fair shake here and you would be well treated. And it’s not, again, just attorneys. It’s a team of people behind the scenes that will help you. So I’m not being paid to give this endorsement, but I think they’re really good for.

Managed Care Attorney in Washington, DC

Managed care plans are a type of health insurance designed to reduce health care costs and improve quality of care. They work by creating contracts with certain health care providers or medical facilities, and offer their services to members at reduced costs. Common examples of managed care plans include Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), and Point of Service (POS) plans.

Unfortunately, decisions that managed care executives make can result in patients being harmed, often because these programs place profits over people. When this happens, wronged consumers can assert their rights by filing lawsuits against the responsible party.

CASES WE HANDLE

At Chaikin, Sherman, Cammarata & Siegel, our legal team is prepared to represent individuals and families who have suffered at the hands of managed care companies. We handle cases where managed care facilities deny certain procedures that your healthcare provider recommends. Often people can suffer injury and even death because a managed care organization refuses to provide care to a person, even though their doctor recommends the procedures.

For example, if you have cancer, and the doctor recommends a treatment plan, and the insurance company denies the treatment, and you later die because you did not get the treatment that you need, the insurance company can be held responsible for their careless and reckless decision, that led to this wrongful death.

Request a Free Case Evaluation Today

If you or a family member has been injured by the negligence or recklessness of a health insurance company or managed care organization, our Washington, DC attorneys are prepared to protect your rights and hold the managed care company or insurance company accountable. Contact our firm for a free consultation.

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