Table of Contents

What My Book Teaches
HMO Patients

1. HMO Hardball Basics
  • What is HMO HARDBALL?
  • Why is HMO HARDBALL Unfair?
  • Why do HMOs and Their Doctors win the Hardball Game?
  • How do HMOs and Their Doctors Deny Patients Necessary Healthcare?
  • Medicare Hardball
  • Applying Patient Pressure to Win the HMO HARDBALL Game
2. HMOs: As Bad As They Want to Be
  • Show Them the Money
  • Getting By With No Help From Your Friends
  • The Need for Lawyers
3. The Deadly Game: HMO HARDBALL Rules and 30 Dirty Tricks
  • Rule 1: HMOs Promote Hype, Not Health
  • Rule 2: HMOs Follow Business Plans, Not Health Plans
  • Rule 3: HMOs Get Sour, When Patients Want Power
4. Winning the HMO HARDBALL Game with Patient Pressure
  • The Patient Pressure System: Easy-to-Understand, Easy-to-Use
  • Step 1: Advance Report Card "Don't Relax, Get the Facts"
  • Step 2: Fact Attack "Preparation for Confrontation"
  • Step 3: Insecurity Blanket (Appeals That Work) "When They Won't Explain, Inflict the Pain"
5. Meet Three Patients, Each Named "I. M. Somebody"
  • See How HMO Doctors Deny Healthcare to Each Patient
  • A Woman Age 40: Mammogram Denial
  • A Child Age 11: MRI Denial
  • A Man Age 67 (Medicare): Colonoscopy Denial
6. How Three Patients Use the Patient Pressure System to Protect Themselves
  • Advance Report Card (Completed Form Example)
  • Fact Attack (Completed Form Example)
  • Insecurity Blanket
      HMO Appeal (Completed Form Example)
      State Appeal (Completed Form Example)
7. What Will HMOs Learn From This Book?
8. Talk Back on the Internet
  • HMO HARDBALL Scorecard
9. Patient Pressure System "Ready-To-Complete" Forms
  • Advance Report Card
  • Fact Attack
  • Insecurity Blanket
      HMO Appeal
      State Appeal


Click on the book to buy