In 2000, in response to the frustration of 23 million California HMO consumers, I was appointed by then-California Gov. Gray Davis to be the nation’s first “HMO czar.” The new agency I was running was ...

And in 2023, KP agreed to pay $50 million, the largest penalty ever levied by the state’s Department of Managed Health Care, for failing to provide timely care, maintain a sufficient number of mental ...

And in 2023, KP agreed to pay $50 million, the largest penalty ever levied by the state’s Department of Managed Health Care, for failing to provide timely care, maintain a sufficient number of ...

The California Department of Managed Health Care on Thursday ordered health plans to ensure enrollees affected by wildfires have access to all needed medical services, including prescription drug ...

In 2023, Kaiser Permanente was fined $50 million in a settlement with the California Department of Managed Health Care, agreeing to make changes addressing problems with its behavioral health care ...

LaTeena Smith pleaded guilty in December to submitting fraudulent bills for psychotherapy services for Medicaid managed care ...

Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.

We feel like we want to be there when they need us, the same level of service that all other industries do,” a Connecticut ...

The issue will feature guest editor Nate Apathy, Ph.D., from the University of Maryland School of Public Health in College ...

The contracts will involve tens of billions of dollars in the coming years, with about 3 million people receiving health care ...