Multimillion-dollar med-mal verdicts against nursing homes and hospitals in Texas are as common as a cold, but health maintenance organizations never have shared the pain.

That changed on June 28 when a jury in Dallas’ 191st District Court socked Cigna Healthcare of Texas with a $13 million verdict – $10 million of it in punitives – in a case in which the plaintiffs accused the HMO of putting its cost-saving measures ahead of a patient’s life.

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