Legal Opinion
Prospect Medical Group, Inc. v. Northridge Emergency Medical Group
California Supreme Court
Decided January 8, 2009No. S142209PublishedCited by 31 opinions
1Opinion of the Court
Opinion
CHIN, J.
A health maintenance organization (HMO) commonly manages medical care in California. In the typical model, familiar to many, doctors contract to provide medical care to enrolled HMO members. Members generally use the services of one of the contracting doctors. When they do, and except for copayments the members must make when services are rendered, the HMO (or its delegate) pays the doctor under the existing contract. In this way, the parties agree upon, and know in advance, what their obligations and rights are and who must pay, and how much, for medical care.
The typical…
2Cases cited8 opinions
- Dyna-Med, Inc. v. Fair Employment & Housing CommissionCalifornia Supreme Court · 1987
- Coalition of Concerned Communities, Inc. v. City of Los AngelesCalifornia Supreme Court · 2004
- Torres v. Parkhouse Tire Service, Inc.California Supreme Court · 2001
- Jones v. Tracy School DistrictCalifornia Supreme Court · 1980
- Sara M. v. Superior CourtCalifornia Supreme Court · 2005
3 more not listed; retrieve them via the Exa API.
3Cited by31 opinions
- Centinela Freeman Emergency Medical Associates v. Health Net of California, Inc.California Supreme Court · 2016
- Children's Hospital Central California v. Blue Cross of CaliforniaCalifornia Court of Appeal · 2014
- In re Wellpoint, Inc. Out-of-Network "UCR" Rates LitigationDistrict Court, C.D. California · 2012
- Pac. Bay Recovery, Inc. v. Cal. Physicians' Servs., Inc., California Court of Appeal, 5th District2017
- Los Angeles Unified School District v. GarciaCalifornia Supreme Court · 2013
26 more not listed; retrieve them via the Exa API.