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California Fines Kaiser Permanente $2.5 Million Over Missing Medicaid Data
CaliforniaHealthline ^ | January 26, 2017 | By Chad Terhune

Posted on 01/27/2017 6:44:07 PM PST by Brad from Tennessee

California officials have fined health care giant Kaiser Permanente $2.5 million for failing to turn over required data on patient care to the state’s Medicaid program.

The California Department of Health Care Services said this was the first fine imposed against one of its Medicaid managed care plans since at least 2000. The state relies on the data to help set rates, ensure adequate care is available and monitor how taxpayer dollars are being spent in the program, known as Medi-Cal in California.

Jennifer Kent, the department’s director, notified Kaiser of the sanctions in a Jan. 13 letter that was obtained by California Healthline.

“This is the first time the department has sanctioned a health plan in recent history. The amount is significant,” said Sarah Brooks, deputy director of health care delivery systems at the Department of Health Care Services. “We do take it very seriously.”

Kaiser isn’t appealing the sanctions and the health plan said it’s “working toward compliance.” The company said the sanctions were in no way related to the quality of patient care or access to treatment. (Kaiser Health News, which produces California Healthline, is not affiliated with Kaiser Permanente.)

Brooks said her agency is in ongoing discussions with Kaiser and additional fines could be imposed depending on the company’s actions and whether Kaiser’s violations put the agency out of compliance with federal rules. That could force the state to repay money to the Centers for Medicare & Medicaid Services, which funds the Medi-Cal program jointly with the state.

The reporting lapses are unusual since Kaiser pioneered use of electronic medical records and health data collection. But the company indicated in a statement that being an integrated health system that operates a health plan, its own hospitals and medical groups complicated matters. . .

(Excerpt) Read more at californiahealthline.org ...


TOPICS: Extended News
KEYWORDS: california; kaiserpermanente; medicaid; medical

1 posted on 01/27/2017 6:44:07 PM PST by Brad from Tennessee
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To: Brad from Tennessee

Chrome Dome Moonbeam working on the two billion dollar Medi-Cal budget gap one Company at a time.


2 posted on 01/27/2017 6:46:18 PM PST by DAC21
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To: Brad from Tennessee

That’s like you or I taking a nickel out of our pocket. Do you realize how big that company is?


3 posted on 01/27/2017 6:49:15 PM PST by 2ndDivisionVet (You cannot invade the mainland US. There'd be a rifle behind every blade of grass.)
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To: Brad from Tennessee

Yeah, gotta keep track of those unregistered Democrat voters...


4 posted on 01/27/2017 6:50:05 PM PST by EagleUSA
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To: Brad from Tennessee
California communists network headed by Moombeam at work. California is run and controlled by communists.
5 posted on 01/27/2017 6:52:27 PM PST by Logical me
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To: 2ndDivisionVet

FRaud?


6 posted on 01/27/2017 7:00:05 PM PST by hoosiermama (When you open your heart to patriotism, there is no room for prejudice.DJT)
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To: Brad from Tennessee

A socialist state stealing from a socialist company that stole from the socialist state.


7 posted on 01/27/2017 7:05:42 PM PST by grumpygresh (When will Soros be brought to justice? Crush the vermin, crush the Left.)
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To: Brad from Tennessee

The reporting lapses are unusual since Kaiser pioneered use of electronic medical records and health data collection. But the company indicated in a statement that being an integrated health system that operates a health plan, its own hospitals and medical groups complicated matters. . .

...

Yep. This story seems very unusual. I bet there is a lot more to it that isn’t being told.


8 posted on 01/27/2017 7:16:21 PM PST by Moonman62 (Make America Great Again!)
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To: Brad from Tennessee

We are The State - you will bend the knee to our whims!


9 posted on 01/27/2017 10:27:18 PM PST by Jack Hammer
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