Department of Managed Healthcare Fines Two Health Plans $8.5 Million for Failure to Timely Respond to Health Providers’ Payment Disputes

 By Zoe Bulls In an enforcement action against two health plans, the California Department of Managed Healthcare (DMHC) fined Blue Cross of California Partnership Plan, Inc. and Blue Cross of California (Anthem Blue Cross) a combined $8.5 million for violating Continue reading

Medical Board Holds Quarterly Meeting, Discusses Enforcement Challenges

By Emily Powers On February 29th and March 1st, the Medical Board of California (MBC) held its Quarterly Board meeting in Los Angeles. A key agenda item included reviewing the Executive Management Report, specifically the Enforcement Program Summary. The Enforcement Continue reading

Joint Sting Operation in Monterey County Uncovers Alleged Unlicensed Contractors

By Erol Kilic On December 6, 2023, the Contractors State Licensing Board (CSLB) announced a joint operation with the Monterey County District Attorney’s Office and the California Department of Insurance (CDI) that successfully identified nine unlicensed contractors in a Monterey Continue reading

Department of Managed Health Care and Department of Health Care Services Issue $55 Million in fines to L.A. Care Health Plan in Enforcement Action to Protect Consumers

By William Espinosa On March 4, 2022, the Department of Managed Health Care (DMHC) released a statement detailing its enforcement action against Local Initiative Health Authority for Los Angeles County (L.A. Care), the state’s largest Medi-Cal plan. The action is Continue reading

Department of Managed Health Care Fines Health Plans $1.9 Million for Failing to Provide Care to California Enrollees

By Rayne Brown On December 18, 2019, the Department of Managed Health Care (DMHC) announced an enforcement action against 12 health plans, imposing fines totaling $1.9 million for their failure to properly oversee a contracted medical group that was improperly Continue reading