HealthNet fined $1M for non-disclosure of cancellation bonuses
Following disclosures forced by a lawsuit, HealthNet has been fined $1 million by the state's Department of Managed Health Care (DMHC) for failing to admit that it did indeed have plans in place which compensated employees partly for how many policies they could cancel.
According to the DMHC, it asked HealthNet on two separate occasions whether it had such plans in place, but HealthNet execs denied it. (I can only class this as "chutzpah.") Last week, however, proof that it was indeed basing bonuses partly on rescissions came to light, when HealthNet was ordered to produce documents as part of a suit filed by a former insured whose policy was canceled.
Unfortunately for Health Net, the fine addresses only to its failure to disclose details of its incentive plan. The DMHC is still investigating whether Health Net (and other state health plans) are making illegal rescissions--which leaves it wide open for additional fines and administrative sanctions. In short, the situation is likely to get uglier in coming months.
To find out more about the fine:
- read this DMHC press release
Related Articles:
Health Net set goals, bonuses based on policy cancellations. Report
CA regulators plan limits to health policy cancellations. Report
BC of California fined $1 million for cancellations. Report
CA agency mulls review of policy cancellations. Report
Kaiser forced to reinstate coverage. Report
Blue Cross of California settles plan-cancellation suits. Report
Kaiser pushes for policy cancellation rules. Report
Comments
Post new comment
Paid Research Reports
- Stakeholder Opinions: Percutaneous Coronary Intervention - Adverse events with drug-eluting stents demand a new safety standard
- Impact of Pharmacogenomics on Public Healthcare Policy
- The Cardiovascular Disorders Market Outlook to 2012
- 2008 Trends to Watch: Pharmaceutical Technology
- Pharmaceutical Pricing and Reimbursement: Strategies for market access across the US, Europe, Japan and other key geographies




