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CA Slaps Health Plans for Delaying Payments
Health Leaders Media

California regulators on Monday fined the state’s seven largest health plans $4.85 million after finding widespread patterns of unfairly processing, delaying, and denying physician and hospital reimbursement claims for patient care.

As a result of the penalties, health plans throughout the state will soon be repaying “tens of millions” of dollars more to providers they owe—about 70% to hospitals and 30% to doctors—as health plans make restitution for their bad practices, said California Department of Managed Health Care Director Cindy Ehnes.