{"id":8802,"date":"2017-12-02T05:00:18","date_gmt":"2017-12-02T10:00:18","guid":{"rendered":"https:\/\/medicarereport.org\/?p=8802"},"modified":"2017-12-01T10:34:01","modified_gmt":"2017-12-01T15:34:01","slug":"whistleblower-medicaid-managed-care-firm-improperly-denied-care-to-thousands","status":"publish","type":"post","link":"https:\/\/medicarereport.org\/?p=8802","title":{"rendered":"Whistleblower: Medicaid Managed-Care Firm Improperly Denied Care To Thousands"},"content":{"rendered":"<p>(By Chad Terhune for California Healthline produced by Kaiser Health News)<\/p>\n<p><span style=\"color: #1a1a1a; text-transform: none; text-indent: 0px; letter-spacing: normal; font-family: Georgia, 'Times New Roman', serif; font-size: 17px; font-style: normal; font-weight: 400; word-spacing: 0px; float: none; display: inline !important; white-space: normal; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;\">In early October, an executive at one of the nation\u2019s largest physician-practice management firms handed her bosses the equivalent of a live grenade \u2014 a 20-page report that blew up the company and shook the world of managed care for poor patients across California. <a href=\"https:\/\/californiahealthline.org\/news\/whistleblower-medicaid-managed-care-firm-denied-care-falsified-documents\/?utm_campaign=KHN:%20First%20Edition&amp;utm_source=hs_email&amp;utm_medium=email&amp;utm_content=58983463&amp;_hsenc=p2ANqtz--KJAW1KLe7m0nYpYmMKcfvy8Mmc7eEzq-VSVGBaGPz8ooGtFGwIOMWCZBU_w4JrlM3rY9Gr2IU44JOHHVeDJiAUNrZsw&amp;_hsmi=58983463\">Continue reading article here&#8230;<\/a><\/span><\/p>\n<p>This story was produced by <a href=\"http:\/\/khn.org\/\">Kaiser Health News<\/a>, which publishes California Healthline, a service of the California Health Care Foundation.\u201d<\/p>\n<p style=\"margin: 0px 0px 15px; padding: 0px; outline: 0px; border: 0px currentColor; color: #444444; text-transform: none; line-height: 1.6; text-indent: 0px; letter-spacing: normal; font-family: 'Open Sans', serif; font-size: 15px; font-style: normal; font-weight: 400; word-spacing: 0px; vertical-align: baseline; white-space: normal; orphans: 2; widows: 2; font-stretch: inherit; background-color: #ffffff; font-variant-numeric: inherit; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;\"><span style=\"margin: 0px; padding: 0px; outline: 0px; border: 0px currentColor; color: #333333; text-transform: none; line-height: inherit; text-indent: 0px; letter-spacing: normal; font-family: 'Open Sans', 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; word-spacing: 0px; vertical-align: baseline; float: none; display: inline !important; white-space: normal; orphans: 2; widows: 2; font-stretch: inherit; background-color: #ffffff; font-variant-numeric: inherit; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;\">Kaiser Health News is a nonprofit national health policy news service that is part of the nonpartisan Henry J. Kaiser Family Foundation.<\/span><\/p>\n<p style=\"margin: 0px 0px 15px; padding: 0px; outline: 0px; border: 0px currentColor; color: #444444; text-transform: none; line-height: 1.6; text-indent: 0px; letter-spacing: normal; font-family: 'Open Sans', serif; font-size: 15px; font-style: normal; font-weight: 400; word-spacing: 0px; vertical-align: baseline; white-space: normal; orphans: 2; widows: 2; font-stretch: inherit; background-color: #ffffff; font-variant-numeric: inherit; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;\"><a href=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2015\/10\/khn-logo1.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone  wp-image-899\" src=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2015\/10\/khn-logo1-300x156.png\" sizes=\"auto, (max-width: 129px) 100vw, 129px\" srcset=\"https:\/\/medicarereport.org\/wp-content\/uploads\/2015\/10\/khn-logo1-300x156.png 300w, https:\/\/medicarereport.org\/wp-content\/uploads\/2015\/10\/khn-logo1-1024x533.png 1024w, https:\/\/medicarereport.org\/wp-content\/uploads\/2015\/10\/khn-logo1-390x205.png 390w, https:\/\/medicarereport.org\/wp-content\/uploads\/2015\/10\/khn-logo1.png 1600w\" alt=\"\" width=\"129\" height=\"67\" \/><\/a><\/p>\n<pre><strong>Notice<\/strong>: The link provided above connects readers to the full content of the posted article. The URL (internet address) for this link is valid on the posted date; medicarereport.org cannot guarantee the duration of the link\u2019s validity. Also, the opinions expressed in these postings are the viewpoints of the original source and are not explicitly endorsed by AMAC, Inc.; the AMAC Foundation, Inc.; or medicarereport.org.<\/pre>\n","protected":false},"excerpt":{"rendered":"<p>(By Chad Terhune for California Healthline produced by Kaiser Health News) In early October, an executive at one of the<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16,4],"tags":[],"class_list":["post-8802","post","type-post","status-publish","format-standard","hentry","category-medicaid","category-medicare-fraud"],"_links":{"self":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/8802","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8802"}],"version-history":[{"count":1,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/8802\/revisions"}],"predecessor-version":[{"id":8803,"href":"https:\/\/medicarereport.org\/index.php?rest_route=\/wp\/v2\/posts\/8802\/revisions\/8803"}],"wp:attachment":[{"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8802"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8802"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicarereport.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8802"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}