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The government awards contracts to companies with histories of misconduct such as contract fraud and environmental, ethics, and labor violations. In the absence of a centralized federal database listing instances of misconduct, the Project On Government Oversight (POGO) is providing such data. We believe that it will lead to improved contracting decisions and public access to information about how the government spends hundreds of billions of taxpayer money each year on goods and services. Report an instance of misconduct »
Health Net, Inc.
Failing to Correctly and Accurately Pay Claims to Health Care Providers
Date: 01/13/2005 (Date of Fine)
Misconduct Type: Cost/Labor Mischarge
Enforcement Agency: State/Local
Contracting Party: Non-Governmental
Court Type: Administrative
Synopsis: On January 13, 2005, Health Net was fined $250,000 by the California Department of Managed Health Care. Health Net was fined for "failing to correctly and accurately pay claims to emergency room and other hospital-based doctors not contracted with the HMO...Under [California] law, HMOs are prohibited from adopting payment practices that would result in systematic underpayment to doctors and health care providers."