In
Copyright Since September 11,
2000This web site is in no manner affiliated with any Kaiser entity and the for profit Permanente
Permission is granted to mirror this web site -
Please acknowledge where the material was obtained.
fines.kaiserpapers.org
California Fines and Santions
California Fines and Santions
Kaiser on average pays the State
of California Department of Managed Health Care a little over
$1,000,000.00 per year in fines.
In comparison for the 7 years that DMHC has been in existence - : Aetna was ordered to pay - $ 385,375.00; Healthnet - $ 972,500.00; Blue Cross - [taking into consideration that 3 documents are missing and one was found misfiled in the Health Net section, so some data is missing] - $1,309,000.00; Blue Shield - [again some documents could not be located as indexed on the DMHC web site] - $487,500.00. This was written in 2007 - the talley is considerably higher now. It is also outrageous. If these companies were to conduct themselves honestly, there would not be half the problems that have been revealed.
The Kaiser Foundation Rehabilitation Center in Vallejo has been fined $25,000 after staff members last year left a sponge inside a surgical patient. The Department of Public Health Report was completed in December of 2008.
See: http://fines.kaiserpapers.org/pdfs/2567Kaiser-Vallejo-Event-5TF011.pdf
The Vacaville Reporter Newspapers also reported on this incident: http://www.thereporter.com/news/ci_13268617
which is also mirrored for historical purposes at: http://californianews.kaiserpapers.org/sponge.html
The California Department of Public Health reported that Kaiser Permanente Hospital in Bellflower has been assessed an administrative penalty of $187,500 after determining the facility failed to prevent unauthorized access to confidential patient medical information.
See story by clicking HERE
or mirrored for historical purposes here: http://fines.kaiserpapers.org/nadia2.html
On August 23, 2007, at 5:22 PM, Immediate
Jeopardy (IJ) was identified regarding the
Pharmaceutical Services. The IJ was abated on
August 23, 2007, at 6:40 PM.
http://fines.kaiserpapers.org/pdfs/2567KaiserFoundation-Riverside-Event47T011.pdf
Source: http://www.cdph.ca.gov, click the "Certificates & Licenses" tab at the top and select the "Health Care Facilities" link.
1-/26/07
- Department of Public Health on
Kaiser Permanente regarding the Santa Clara Hospital fine of $25,000 at:
http://www.cdph.ca.gov/certlic/facilities/Documents/2567KaiserFoundation.pdf
and
http://californianews.kaiserpapers.org/pdfs/2567KaiserFoundation.pdf
text version of the above pdf file is at:
http://californianews.kaiserpapers.org/kaiserpermanentesantaclaratextfine.html
For a complete list of DMHC enforcement actions against Kaiser please see this very lengthy list at: http://www.dmhc.ca.gov
$2,500.00
July 30, 2007
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/23251.pdf
$5,000.00
July 30, 2007
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/24017.pdf
$3,000,000.00
July 30, 2007
Consent Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/24139.pdf
July 30, 2007
Kaiser Foundation Health Plan, Inc: Consent Agreement Re: Oversight of Quality Assurance Programs,July 30, 2007
http://www.dmhc.ca.gov/library/enforcements/noteworthy/enf_notew.asp
$250,000.00
May 3, 2007
Kaiser Foundation Health Plan, Inc: Letter of Agreement Re:Reasonable Person Standard for ER Claims,May 3, 2007
http://www.dmhc.ca.gov/library/enforcements/actions/055/22560.pdf
$7,500.00
April 18, 2007
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/23092.pdf
$225,000.00
March 1, 2007
Kaiser Foundation Health Plan, Inc.: Letter of Agreement Re: Post Claims Underwriting,March 1,
2007
On March 1, 2007, Kaiser and the Department entered into a second Letter of Agreement
wherein Kaiser agreed to pay $225,000 for a wrongful rescission where an internal data
input error caused the wrongful rescission of the member’s coverage. The member
disclosed several pre-existing conditions and a Kaiser employee omitted a disclosure of
kidney stones. It was this initial defect in Kaiser’s underwriting process that led to
wrongful rescission of the enrollee’s coverage. As a result, Kaiser failed to properly
complete medical underwriting and also failed to prove that the member willfully
misrepresented his health history before rescinding coverage in violation of section
1389.3 of the Knox-Keene Act.
http://www.dmhc.ca.gov/library/enforcements/actions/055/22337.pdf
http://fines.kaiserpapers.org/pdfs/dalebonnertestimony.pdf
$2,500.00
February 21, 2007
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/22113.pdf
$100,000.00
December 13, 2006
Kaiser Foundation Health Plan, Inc.: Letter of Agreement Re: Post Claims Underwriting,December
13, 2006
On December 13, 2006, the Department and Kaiser entered into a Letter of Agreement to
settle a wrongful rescission case where Kaiser rescinded a member for failing to disclose
signs and symptoms of epilepsy when the member had never been formally diagnosed.
Kaiser contested liability in the case but agreed to pay a $100,000 penalty to settle the
matter.
http://www.dmhc.ca.gov/library/enforcements/actions/055/21519.pdf
http://fines.kaiserpapers.org/pdfs/dalebonnertestimony.pdf
October 6, 2006
Kaiser Foundation Health Plan, Inc.: Order To Reinstate Enrollee's Health Care Coverage - October 6, 2006
On October 6, 2006, the Department ordered Kaiser to reinstate a member who had been
covered under a Kaiser group-plan for 20 years. During that time Kaiser treated her for
arm and neck pain and filled her prescriptions through its pharmacies. Thus, it was on
notice of her arm and neck condition at the time she applied for individual coverage.
Nevertheless, Kaiser rescinded the member’s coverage because she did not disclose her
neck and arm pain even though the enrollee reasonably believed Kaiser was aware of the
condition. The member also had a congenital kidney disease and contacted the
Department at a time when she was uninsured and believed she would need emergency
care for the kidney condition. Because Kaiser was on notice of the member’s arm and
neck pain at the time it approved her application, the Department ordered Kaiser to
reinstate her coverage to allow her to obtain medically necessary services for her kidney
condition.
http://www.dmhc.ca.gov/library/enforcements/actions/055/doc000.pdf
http://fines.kaiserpapers.org/pdfs/dalebonnertestimony.pdf
$2,500.00
September 12, 2006
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/20819.pdf
$5,000.00
September 8, 2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/19496.pdf
$5,000.00
August 21, 2006
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/20480.pdf
$7,500.00
August 18, 2006
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/20271.pdf
$2,000,000.00
(Kidney Transplant Services 06-162)
August 9, 2006
Consent Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/20533_2.pdf
$5,000.00
March 7, 2006
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/18550.pdf
(Kidney Transplant Services 06-162)
May 12, 2006
Order re: Kaiser Foundation Hospitals' San Francisco Kidney Transplant Medical Center
http://www.dmhc.ca.gov/library/enforcements/actions/055/19793.pdf
(Kidney Transplant Services 06-162)
May 10, 2006
Stipulated Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/19729.pdf
$2,500.00
April 24, 2006
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/19390.pdf
April 4, 2006
ORDER RE: COMPLIANCE WITH California Code of Regulations, title 28, section 1300.65(c)(4)
http://www.dmhc.ca.gov/library/enforcements/actions/055/19412.pdf
$2,500.00
December 6, 2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/17902.pdf
$200,000.00
$25,000.00
carry over from violation levied in 2001 and no longer reflected on the
DMHC website but is referenced in this document.
July 18, 2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/16686.pdf
$2,500.00
Handling of Grievance 05-189)
July 14, 2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/16273.pdf
$5,000.00
(Handling of Grievance 05-188)
July 14, 2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/16233.pdf
$10,000.00
April 28,2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/15583.pdf
$2,500.00
April 11, 2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/15439.pdf
(Order against former Kaiser
employee 05-081)
April, 15, 2005
Amended Order for Discontinuance of Injurious Practices
http://www.dmhc.ca.gov/library/enforcements/actions/055/16009.pdf
March 17, 2005
Order for Discontinuance of Injurious Practices
http://www.dmhc.ca.gov/library/enforcements/actions/055/14886.pdf
$5,000.00
February 25, 2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/14514.pdf
$2,500.00
January 7, 2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/13661.pdf
$5,000.00
December 7, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/13663.pdf
$5,000.00
(Handling of Grievance 04-162)
October 8, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/11634a.pdf
$5,000.00
October 8, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/11634a.pdf
$2,500.00
(Handling of Grievance 04-119)
August 4, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/12069.pdf
$2,500.00
(Handling of Grievance 04-039)
April 14, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10842.pdf
$2,500.00
(Handling of Grievance 04-037)
April 14, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10844.pdf
$2,500.00
(Handling of Grievance 03-423)
March 17, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10670.pdf
$2,500.00
(Handling of Grievance 03-422)
March 17, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10732.pdf
$2,500.00
(Handling of Grievance 03-421)
March 17, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10737.pdf
$2,500.00
(Handling of Grievance 03-230)
December 16, 2003
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10108.pdf
$10,000.00
(Handling of Grievance 03-185)
December 15, 2003
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10095.pdf
$7,500.00
(Handling of Grievance 03-186, 03-187, and 03-188)
December 15, 2003
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10096.pdf
$2,500.00
(Handling of Grievance 03-350)
December 15, 2003
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10097.pdf
$2,500.00
(Handling of Grievance 03-352)
December 15, 2003
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/97142.pdf
$10,000.00
(Handling of Grievance 03-119)
October 9, 2003
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/9045.pdf
$40,000.00
(Handling of Grievance 03-085)
August 28, 2003
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/8986.pdf
$50,000.00
(Handling of Grievance 02-084)
June 13, 2003
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/8126.pdf
$1,000,000.00
Kaiser Foundation Health Plan (Margaret Utterback)
December 3, 2002
Dismissal of Amended Accusation
http://www.dmhc.ca.gov/library/enforcements/actions/055/6192.pdf
$1,100,000.00 - $100,000.00
later removed and above referrenced item - payment made.
November 15, 2002
Stipulation, Decision, and Order
http://www.dmhc.ca.gov/library/enforcements/actions/055/6053.pdf
$5,000.00
November 15, 2002
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/5636.pdf
$100,000.00
(Adopting IMR Decision 01-047, 02-033)
August 26, 2002
Letter of Agreement: Home Health Care
http://www.dmhc.ca.gov/library/enforcements/actions/055/5086.pdf
(Kaiser Foundation Health Plan,
Inc. v. Daniel Zingale)
June 27, 2002
Court of Appeal Opinion
http://www.dmhc.ca.gov/library/enforcements/actions/055/viagra020727.pdf
$110,000.00
Kaiser Foundation Health Plan (Timothy Waters)
May 24, 2002
Stipulated Settlement Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/4192.pdf
March 19, 2002
Cease and Desist Orderhttp://kaiserpapers.org/images
http://www.dmhc.ca.gov/library/enforcements/actions/055/3695.pdf
$5,000.00
(Handling of Grievance 01-156)
November 16, 2001
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/2459.pdf
$5,000.00
(Handling of Grievance 01-143)
November 16, 2001
Letter of Agreement
(Handling of Grievance 04-162)
http://www.dmhc.ca.gov/library/enforcements/actions/055/2420.pdf
$500,000.00
November 15, 2001
Accusation and Assessment of Administrative Penalty
http://www.dmhc.ca.gov/library/enforcements/actions/055/2331.pdf
(Prescription Drug Benefits 00-245)
July 6, 2001
Ruling on Submitted Matter
http://www.dmhc.ca.gov/library/enforcements/actions/055/viagra_ruling.pdf
$25,000.00
Kaiser Foundation Health Plan (KP On-line)
December 27, 2000
Assessment of Administrative Penalty
http://www.dmhc.ca.gov/library/enforcements/actions/055/001227.pdf
Kaiser
Permanente faces record fine
In comparison for the 7 years that DMHC has been in existence - : Aetna was ordered to pay - $ 385,375.00; Healthnet - $ 972,500.00; Blue Cross - [taking into consideration that 3 documents are missing and one was found misfiled in the Health Net section, so some data is missing] - $1,309,000.00; Blue Shield - [again some documents could not be located as indexed on the DMHC web site] - $487,500.00. This was written in 2007 - the talley is considerably higher now. It is also outrageous. If these companies were to conduct themselves honestly, there would not be half the problems that have been revealed.
The Kaiser Foundation Rehabilitation Center in Vallejo has been fined $25,000 after staff members last year left a sponge inside a surgical patient. The Department of Public Health Report was completed in December of 2008.
See: http://fines.kaiserpapers.org/pdfs/2567Kaiser-Vallejo-Event-5TF011.pdf
The Vacaville Reporter Newspapers also reported on this incident: http://www.thereporter.com/news/ci_13268617
which is also mirrored for historical purposes at: http://californianews.kaiserpapers.org/sponge.html
The California Department of Public Health reported that Kaiser Permanente Hospital in Bellflower has been assessed an administrative penalty of $187,500 after determining the facility failed to prevent unauthorized access to confidential patient medical information.
See story by clicking HERE
or mirrored for historical purposes here: http://fines.kaiserpapers.org/nadia2.html
Kaiser hospital fined $250,000
for privacy breach in octuplet case
The
Bellflower facility, where 23 unauthorized workers accessed Nadya
Suleman's records, is the first to be monetarily penalized under a new
state law. By Charles Ornstein - May 14, 2009
See: http://www.latimes.com/news/local/la-me-privacy15-2009may15,0,2916906.story
mirrored for historical purposes at: http://fines.kaiserpapers.org/octomom.html
August 28, 2007 - Kaiser Permanente Riverside - 10800 MAGNOLIA AVENUE, RIVERSIDE, CA 92505 RIVERSIDE COUNTYSee: http://www.latimes.com/news/local/la-me-privacy15-2009may15,0,2916906.story
mirrored for historical purposes at: http://fines.kaiserpapers.org/octomom.html
On August 23, 2007, at 5:22 PM, Immediate
Jeopardy (IJ) was identified regarding the
Pharmaceutical Services. The IJ was abated on
August 23, 2007, at 6:40 PM.
http://fines.kaiserpapers.org/pdfs/2567KaiserFoundation-Riverside-Event47T011.pdf
Source: http://www.cdph.ca.gov, click the "Certificates & Licenses" tab at the top and select the "Health Care Facilities" link.
1-/26/07
- Department of Public Health on
Kaiser Permanente regarding the Santa Clara Hospital fine of $25,000 at:http://www.cdph.ca.gov/certlic/facilities/Documents/2567KaiserFoundation.pdf
and
http://californianews.kaiserpapers.org/pdfs/2567KaiserFoundation.pdf
text version of the above pdf file is at:
http://californianews.kaiserpapers.org/kaiserpermanentesantaclaratextfine.html
For a complete list of DMHC enforcement actions against Kaiser please see this very lengthy list at: http://www.dmhc.ca.gov
$2,500.00July 30, 2007
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/23251.pdf
$5,000.00July 30, 2007
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/24017.pdf
$3,000,000.00July 30, 2007
Consent Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/24139.pdf
July 30, 2007Kaiser Foundation Health Plan, Inc: Consent Agreement Re: Oversight of Quality Assurance Programs,
http://www.dmhc.ca.gov/library/enforcements/noteworthy/enf_notew.asp
$250,000.00May 3, 2007
Kaiser Foundation Health Plan, Inc: Letter of Agreement Re:Reasonable Person Standard for ER Claims,
http://www.dmhc.ca.gov/library/enforcements/actions/055/22560.pdf
$7,500.00April 18, 2007
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/23092.pdf
$225,000.00March 1, 2007
Kaiser Foundation Health Plan, Inc.: Letter of Agreement Re: Post Claims Underwriting,
On March 1, 2007, Kaiser and the Department entered into a second Letter of Agreement
wherein Kaiser agreed to pay $225,000 for a wrongful rescission where an internal data
input error caused the wrongful rescission of the member’s coverage. The member
disclosed several pre-existing conditions and a Kaiser employee omitted a disclosure of
kidney stones. It was this initial defect in Kaiser’s underwriting process that led to
wrongful rescission of the enrollee’s coverage. As a result, Kaiser failed to properly
complete medical underwriting and also failed to prove that the member willfully
misrepresented his health history before rescinding coverage in violation of section
1389.3 of the Knox-Keene Act.
http://www.dmhc.ca.gov/library/enforcements/actions/055/22337.pdf
http://fines.kaiserpapers.org/pdfs/dalebonnertestimony.pdf
$2,500.00February 21, 2007
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/22113.pdf
$100,000.00December 13, 2006
Kaiser Foundation Health Plan, Inc.: Letter of Agreement Re: Post Claims Underwriting,
On December 13, 2006, the Department and Kaiser entered into a Letter of Agreement to
settle a wrongful rescission case where Kaiser rescinded a member for failing to disclose
signs and symptoms of epilepsy when the member had never been formally diagnosed.
Kaiser contested liability in the case but agreed to pay a $100,000 penalty to settle the
matter.
http://www.dmhc.ca.gov/library/enforcements/actions/055/21519.pdf
http://fines.kaiserpapers.org/pdfs/dalebonnertestimony.pdf
October 6, 2006Kaiser Foundation Health Plan, Inc.: Order To Reinstate Enrollee's Health Care Coverage - October 6, 2006
On October 6, 2006, the Department ordered Kaiser to reinstate a member who had been
covered under a Kaiser group-plan for 20 years. During that time Kaiser treated her for
arm and neck pain and filled her prescriptions through its pharmacies. Thus, it was on
notice of her arm and neck condition at the time she applied for individual coverage.
Nevertheless, Kaiser rescinded the member’s coverage because she did not disclose her
neck and arm pain even though the enrollee reasonably believed Kaiser was aware of the
condition. The member also had a congenital kidney disease and contacted the
Department at a time when she was uninsured and believed she would need emergency
care for the kidney condition. Because Kaiser was on notice of the member’s arm and
neck pain at the time it approved her application, the Department ordered Kaiser to
reinstate her coverage to allow her to obtain medically necessary services for her kidney
condition.
http://www.dmhc.ca.gov/library/enforcements/actions/055/doc000.pdf
http://fines.kaiserpapers.org/pdfs/dalebonnertestimony.pdf
$2,500.00September 12, 2006
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/20819.pdf
$5,000.00September 8, 2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/19496.pdf
$5,000.00August 21, 2006
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/20480.pdf
$7,500.00August 18, 2006
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/20271.pdf
$2,000,000.00(Kidney Transplant Services 06-162)
August 9, 2006
Consent Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/20533_2.pdf
$5,000.00March 7, 2006
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/18550.pdf
(Kidney Transplant Services 06-162) May 12, 2006
Order re: Kaiser Foundation Hospitals' San Francisco Kidney Transplant Medical Center
http://www.dmhc.ca.gov/library/enforcements/actions/055/19793.pdf
(Kidney Transplant Services 06-162) May 10, 2006
Stipulated Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/19729.pdf
$2,500.00April 24, 2006
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/19390.pdf
April 4, 2006ORDER RE: COMPLIANCE WITH California Code of Regulations, title 28, section 1300.65(c)(4)
http://www.dmhc.ca.gov/library/enforcements/actions/055/19412.pdf
$2,500.00December 6, 2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/17902.pdf
$200,000.00$25,000.00
carry over from violation levied in 2001 and no longer reflected on the
DMHC website but is referenced in this document.July 18, 2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/16686.pdf
$2,500.00Handling of Grievance 05-189)
July 14, 2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/16273.pdf
$5,000.00(Handling of Grievance 05-188)
July 14, 2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/16233.pdf
$10,000.00April 28,2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/15583.pdf
$2,500.00April 11, 2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/15439.pdf
(Order against former Kaiser
employee 05-081)
April, 15, 2005
Amended Order for Discontinuance of Injurious Practices
http://www.dmhc.ca.gov/library/enforcements/actions/055/16009.pdf
March 17, 2005Order for Discontinuance of Injurious Practices
http://www.dmhc.ca.gov/library/enforcements/actions/055/14886.pdf
$5,000.00February 25, 2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/14514.pdf
$2,500.00January 7, 2005
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/13661.pdf
$5,000.00December 7, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/13663.pdf
$5,000.00(Handling of Grievance 04-162)
October 8, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/11634a.pdf
$5,000.00October 8, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/11634a.pdf
$2,500.00(Handling of Grievance 04-119)
August 4, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/12069.pdf
$2,500.00(Handling of Grievance 04-039)
April 14, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10842.pdf
$2,500.00(Handling of Grievance 04-037)
April 14, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10844.pdf
$2,500.00(Handling of Grievance 03-423)
March 17, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10670.pdf
$2,500.00(Handling of Grievance 03-422)
March 17, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10732.pdf
$2,500.00(Handling of Grievance 03-421)
March 17, 2004
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10737.pdf
$2,500.00(Handling of Grievance 03-230)
December 16, 2003
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10108.pdf
$10,000.00(Handling of Grievance 03-185)
December 15, 2003
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10095.pdf
$7,500.00(Handling of Grievance 03-186, 03-187, and 03-188)
December 15, 2003
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10096.pdf
$2,500.00(Handling of Grievance 03-350)
December 15, 2003
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/10097.pdf
$2,500.00(Handling of Grievance 03-352)
December 15, 2003
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/97142.pdf
$10,000.00(Handling of Grievance 03-119)
October 9, 2003
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/9045.pdf
$40,000.00(Handling of Grievance 03-085)
August 28, 2003
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/8986.pdf
$50,000.00(Handling of Grievance 02-084)
June 13, 2003
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/8126.pdf
$1,000,000.00Kaiser Foundation Health Plan (Margaret Utterback)
December 3, 2002
Dismissal of Amended Accusation
http://www.dmhc.ca.gov/library/enforcements/actions/055/6192.pdf
$1,100,000.00 - $100,000.00
later removed and above referrenced item - payment made.November 15, 2002
Stipulation, Decision, and Order
http://www.dmhc.ca.gov/library/enforcements/actions/055/6053.pdf
$5,000.00November 15, 2002
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/5636.pdf
$100,000.00(Adopting IMR Decision 01-047, 02-033)
August 26, 2002
Letter of Agreement: Home Health Care
http://www.dmhc.ca.gov/library/enforcements/actions/055/5086.pdf
(Kaiser Foundation Health Plan,
Inc. v. Daniel Zingale) June 27, 2002
Court of Appeal Opinion
http://www.dmhc.ca.gov/library/enforcements/actions/055/viagra020727.pdf
$110,000.00Kaiser Foundation Health Plan (Timothy Waters)
May 24, 2002
Stipulated Settlement Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/4192.pdf
March 19, 2002Cease and Desist Orderhttp://kaiserpapers.org/images
http://www.dmhc.ca.gov/library/enforcements/actions/055/3695.pdf
$5,000.00(Handling of Grievance 01-156)
November 16, 2001
Letter of Agreement
http://www.dmhc.ca.gov/library/enforcements/actions/055/2459.pdf
$5,000.00(Handling of Grievance 01-143)
November 16, 2001
Letter of Agreement
(Handling of Grievance 04-162)
http://www.dmhc.ca.gov/library/enforcements/actions/055/2420.pdf
$500,000.00November 15, 2001
Accusation and Assessment of Administrative Penalty
http://www.dmhc.ca.gov/library/enforcements/actions/055/2331.pdf
(Prescription Drug Benefits 00-245) July 6, 2001
Ruling on Submitted Matter
http://www.dmhc.ca.gov/library/enforcements/actions/055/viagra_ruling.pdf
$25,000.00Kaiser Foundation Health Plan (KP On-line)
December 27, 2000
Assessment of Administrative Penalty
http://www.dmhc.ca.gov/library/enforcements/actions/055/001227.pdf
Kaiser
Permanente faces record fine
http://www.latimes.com/news/local/la-me-kaiser26jul26,0,351981,full.story?coll=la-home-center
From
DMHC http://www.dmhc.ca.gov/aboutTheDMHC/gen/ann/ann_prkaiserqap.asp
FINAL REPORT
http://www.dmhc.ca.gov/library/reports/med_survey/surveys/055full072607.pdf
in html/text form at:
http://fines.kaiserpapers.org/dmhc72007
Kaiser
Told to Reinstate Coverage
From
DMHC http://www.dmhc.ca.gov/aboutTheDMHC/gen/ann/ann_prkaiserqap.aspFINAL REPORT
http://www.dmhc.ca.gov/library/reports/med_survey/surveys/055full072607.pdf
in html/text form at:
http://fines.kaiserpapers.org/dmhc72007
Kaiser
Told to Reinstate Coverage
Regulators'
action
in a kidney patient's case comes as scrutiny over cancellations grows.
State
regulators for the first time have ordered a health plan to
reinstate the insurance coverage of a patient whose policy was ruled to
have been illegally canceled.
http://www.latimes.com/business/la-fi-kaiser19oct19,1,3274480.story?coll=la-headlines-business&track=crosspromo
mirrored at: http://californianews.kaiserpapers.org/oct192006.html
Kaiser
says it
will finally pay fine of $1,000,000.00 levied by Department of Managed
Health Care in 2000./Nov. 2002 http://fines.kaiserpapers.org/kaiser1milliondollarfine.html
Kaiser
fined1/2
Million Dollars by DMHC in California for death of 19 year old for
denial
of medical treatment
http://fines.kaiserpapers.org/november15.html
1999 - Karl
Jacobs and
Tami Michelle Cope appeared before the Southern Compliance Committee
as the result of an investigation that revealed that Kaiser Hospital Pharmacy incorrectly filled
narcotic requisitions, and pharmacy staff did not follow the pharmacy’s policy and procedures.
http://fines.kaiserpapers.org/karltami.html
1998 Kaiser
Cited Again
For ImproperUse Of Unlicensed Surgical Technicians!!!
CNA received written notice from the DHS that they had issued another Statement of Deficiencies (SOD) against Kaiser-Sacramento (Morse Ave.) facility for their improper use of unlicensed surgical technicians. Kaiser was using the unlicensed technicians as first assistants during orthopedic procedures. Nurses reported numerous eye-witness accounts of unlicensed technicians suturing, cutting tissue, using a bovie on vessels, and drilling pins and screws. The hospital was cited in 1996 for allowing the unlicensed technician to administer marcaine into the joints of patients in the OR.
http://horror.kaiserpapers.org/cnatechno.html
1998 Kaiser Permanente Hospital
in Santa Rosa has been cited by the state
Department of Health Services for allowing a technician to perform
medical
procedures during orthopedic operations.
http://www.latimes.com/business/la-fi-kaiser19oct19,1,3274480.story?coll=la-headlines-business&track=crosspromo
mirrored at: http://californianews.kaiserpapers.org/oct192006.html
Kaiser
says it
will finally pay fine of $1,000,000.00 levied by Department of Managed
Health Care in 2000./Nov. 2002 http://fines.kaiserpapers.org/kaiser1milliondollarfine.htmlKaiser
fined1/2
Million Dollars by DMHC in California for death of 19 year old for
denial
of medical treatment http://fines.kaiserpapers.org/november15.html
1999 - Karl
Jacobs and
Tami Michelle Cope appeared before the Southern Compliance Committee
as the result of an investigation that revealed that Kaiser Hospital Pharmacy incorrectly filled
narcotic requisitions, and pharmacy staff did not follow the pharmacy’s policy and procedures.
http://fines.kaiserpapers.org/karltami.html
1998 Kaiser
Cited Again
For ImproperUse Of Unlicensed Surgical Technicians!!! CNA received written notice from the DHS that they had issued another Statement of Deficiencies (SOD) against Kaiser-Sacramento (Morse Ave.) facility for their improper use of unlicensed surgical technicians. Kaiser was using the unlicensed technicians as first assistants during orthopedic procedures. Nurses reported numerous eye-witness accounts of unlicensed technicians suturing, cutting tissue, using a bovie on vessels, and drilling pins and screws. The hospital was cited in 1996 for allowing the unlicensed technician to administer marcaine into the joints of patients in the OR.
http://horror.kaiserpapers.org/cnatechno.html
1998 Kaiser Permanente Hospital
in Santa Rosa has been cited by the state
Department of Health Services for allowing a technician to perform
medical
procedures during orthopedic operations.The Santa Rosa hospital is the third Kaiser facility to be cited by the state for using an unlicensed assistant during operations. Kaiser hospitals in Sacramento and in San Jose were also cited by the agency, which licenses and regulates the state's hospitals.
The
investigation of Kaiser in Santa Rosa, conducted in June and completed
Aug. 7, revealed that the hospital's four orthopedic surgeons were
using
an orthopedic assistant, who is a technician, to perform such
procedures
as suturing deep tissue wounds, placing pins in bones and cauterizing
veins.
http://horror.kaiserpapers.org/cnamoreunlicen.html
1998 The death
investigation of 7 - year - old Gregory McCan was the latest in a
string
of state queries into
patient deaths, emergency room delays and other problems at Kaiser
facilities
in the East Bay.
http://californianews.kaiserpapers.org/gregorymccan.html
Kaiser
Radiation Event 1999 Los Angeles
May 24, 1999
U.S. Nuclear Regulatory Commission Operations Center
L.A. COUNTY DEPT OF HEALTH SERVICES |NOTIFICATION DATE: 05/21/1999
LICENSEE: KAISER PERMANENTE MED CARE PROGRAM
THERAPEUTIC MEDICAL MISADMINISTRATION AT KAISER PERMANENTE MEDICAL CARE |
| PROGRAM OF SOUTHERN CALIFORNIA. |
| |
| A PATIENT WAS SCHEDULED FOR THREE THERAPEUTIC TREATMENTS FOR CANCER OF THE |
| CERVIX USING THE HIGH DOSE RATE AFTERLOADER. PRIOR TO THE INITIATION OF THE |
| FIRST TREATMENT ON 04/23/99, THE AUTHORIZED USER MADE A "LAST MINUTE" CHANGE |
| IN THE TREATMENT PLAN WITH RESPECT TO THE SOURCE TRAVEL DISTANCE. AFTER THE |
| CHANGE WAS MADE, THE SETUP CALLED FOR THE SOURCE TO BEGIN AT 989 |
| MILLIMETERS. THE PHYSICIST, HOWEVER, SET UP THE UNIT SO THAT THE SOURCE |
| BEGAN ITS TRAVEL AT 889 MILLIMETERS. PRIOR TO INITIATION OF THE TREATMENT, |
| THE AUTHORIZED USER, PHYSICIST, AND TECHNOLOGIST SIGNED OFF ON THIS |
| TREATMENT PLAN. THE PATIENT WAS THEN TREATED. THE SOURCE TRAVEL DISTANCE |
| WAS 100 MILLIMETERS SHORTER THAN THE TREATMENT PLAN REQUIRED, AND DIFFERENT |
| FROM THAT INTENDED. IT WAS NOT NOTED DURING OR AFTER COMPLETION OF THIS |
| TREATMENT. |
| |
| THE SECOND TREATMENT OCCURRED ON 04/30/99. A SECOND PHYSICIST, WITHOUT |
| VERIFYING THE ACCURACY OF THE FIRST TREATMENT, SET UP THE SECOND TREATMENT |
| USING THE SAME PARAMETERS, A TRAVEL DISTANCE OF 894 MILLIMETERS. THE |
| AUTHORIZED USER, PHYSICIST, AND TECHNOLOGIST SIGNED OFF ON THE SECOND |
| TREATMENT PLAN. THE TREATMENT WAS ADMINISTERED TO A DIFFERENT LOCATION THAN |
| INTENDED. THE ERROR WAS NOT NOTED PRIOR TO, DURING, OR AFTER THIS |
| TREATMENT. |
| |
| THE THIRD TREATMENT PERFORMED ON 05/07/99 BY A THIRD PHYSICIST WHO SET UP |
| THE PARAMETERS CORRECTLY, AS PLANNED (TRAVEL DISTANCE OF 994 MILLIMETERS) |
| WAS COMPLETED WITHOUT INCIDENT. |
| |
| THE THIRD PHYSICIST PERFORMED A CHART REVIEW ON 05/11/99 AND FOUND THE ERROR |
| IN THE 04/23/99 AND 04/30/99 TREATMENTS AND NOTIFIED THE RADIATION THERAPY |
| ADMINISTRATOR AND CHIEF OF SERVICE. |
| |
| THE REGIONAL RADIATION SAFETY OFFICER (RSO) WAS NOTIFIED ON 05/17/99 BY THE |
| SITE RSO IN VIOLATION OF THE REQUIRED 4 HOUR NOTIFICATION TIME. |
| |
| THE PATIENT AND HIS REFERRING PHYSICIAN WERE NOTIFIED OF THIS INCIDENT ON |
| 05/18/99. |
| |
| A COMPLETE INVESTIGATION OF THESE INCIDENTS, INCLUDING A DOSE ASSESSMENT, |
| AND THE DEVELOPMENT OF AN ACTION PLAN TO PREVENT FURTHER OCCURRENCES WILL BE |
| MADE.
http://www.nrc.gov/reading-rm/doc-collections/event-status/event/1999/19990524en.html
DMHC
for the
State of California Enforcement Actions Against Kaiser Permanete
http://horror.kaiserpapers.org/cnamoreunlicen.html
1998 The death
investigation of 7 - year - old Gregory McCan was the latest in a
string
of state queries into
patient deaths, emergency room delays and other problems at Kaiser
facilities
in the East Bay.http://californianews.kaiserpapers.org/gregorymccan.html
Kaiser
Radiation Event 1999 Los Angeles May 24, 1999
U.S. Nuclear Regulatory Commission Operations Center
L.A. COUNTY DEPT OF HEALTH SERVICES |NOTIFICATION DATE: 05/21/1999
LICENSEE: KAISER PERMANENTE MED CARE PROGRAM
THERAPEUTIC MEDICAL MISADMINISTRATION AT KAISER PERMANENTE MEDICAL CARE |
| PROGRAM OF SOUTHERN CALIFORNIA. |
| |
| A PATIENT WAS SCHEDULED FOR THREE THERAPEUTIC TREATMENTS FOR CANCER OF THE |
| CERVIX USING THE HIGH DOSE RATE AFTERLOADER. PRIOR TO THE INITIATION OF THE |
| FIRST TREATMENT ON 04/23/99, THE AUTHORIZED USER MADE A "LAST MINUTE" CHANGE |
| IN THE TREATMENT PLAN WITH RESPECT TO THE SOURCE TRAVEL DISTANCE. AFTER THE |
| CHANGE WAS MADE, THE SETUP CALLED FOR THE SOURCE TO BEGIN AT 989 |
| MILLIMETERS. THE PHYSICIST, HOWEVER, SET UP THE UNIT SO THAT THE SOURCE |
| BEGAN ITS TRAVEL AT 889 MILLIMETERS. PRIOR TO INITIATION OF THE TREATMENT, |
| THE AUTHORIZED USER, PHYSICIST, AND TECHNOLOGIST SIGNED OFF ON THIS |
| TREATMENT PLAN. THE PATIENT WAS THEN TREATED. THE SOURCE TRAVEL DISTANCE |
| WAS 100 MILLIMETERS SHORTER THAN THE TREATMENT PLAN REQUIRED, AND DIFFERENT |
| FROM THAT INTENDED. IT WAS NOT NOTED DURING OR AFTER COMPLETION OF THIS |
| TREATMENT. |
| |
| THE SECOND TREATMENT OCCURRED ON 04/30/99. A SECOND PHYSICIST, WITHOUT |
| VERIFYING THE ACCURACY OF THE FIRST TREATMENT, SET UP THE SECOND TREATMENT |
| USING THE SAME PARAMETERS, A TRAVEL DISTANCE OF 894 MILLIMETERS. THE |
| AUTHORIZED USER, PHYSICIST, AND TECHNOLOGIST SIGNED OFF ON THE SECOND |
| TREATMENT PLAN. THE TREATMENT WAS ADMINISTERED TO A DIFFERENT LOCATION THAN |
| INTENDED. THE ERROR WAS NOT NOTED PRIOR TO, DURING, OR AFTER THIS |
| TREATMENT. |
| |
| THE THIRD TREATMENT PERFORMED ON 05/07/99 BY A THIRD PHYSICIST WHO SET UP |
| THE PARAMETERS CORRECTLY, AS PLANNED (TRAVEL DISTANCE OF 994 MILLIMETERS) |
| WAS COMPLETED WITHOUT INCIDENT. |
| |
| THE THIRD PHYSICIST PERFORMED A CHART REVIEW ON 05/11/99 AND FOUND THE ERROR |
| IN THE 04/23/99 AND 04/30/99 TREATMENTS AND NOTIFIED THE RADIATION THERAPY |
| ADMINISTRATOR AND CHIEF OF SERVICE. |
| |
| THE REGIONAL RADIATION SAFETY OFFICER (RSO) WAS NOTIFIED ON 05/17/99 BY THE |
| SITE RSO IN VIOLATION OF THE REQUIRED 4 HOUR NOTIFICATION TIME. |
| |
| THE PATIENT AND HIS REFERRING PHYSICIAN WERE NOTIFIED OF THIS INCIDENT ON |
| 05/18/99. |
| |
| A COMPLETE INVESTIGATION OF THESE INCIDENTS, INCLUDING A DOSE ASSESSMENT, |
| AND THE DEVELOPMENT OF AN ACTION PLAN TO PREVENT FURTHER OCCURRENCES WILL BE |
| MADE.
http://www.nrc.gov/reading-rm/doc-collections/event-status/event/1999/19990524en.html
DMHC
for the
State of California Enforcement Actions Against Kaiser Permanete
This case is brought pursuant to the provisions of the Knox-Keene Health Care Service Plan Ac t of 1975, as amended (the "Act")1 based on the failure by Kaiser Foundation Health Plan, Inc. ("Kaiser"), the largest health care service plan in California, to provide three (now deceased) Kaiser enrollees, Margaret Utterback, Wolfgang Spunbarg, and James West with care and services as mandated by the Act.
Also at: http://www.hmohelp.ca.gov/library/enforcements
and
$1,000,000.00
Kaiser Foundation Health Plan (Margaret Utterback)
December 3, 2002
Dismissal of Amended Accusation
http://www.dmhc.ca.gov/library/enforcements/actions/055/6192.pdf
and
http://fines.kaiserpapers.org/enforcement.html
Kaiser
Fined
for Phlebotomy Practices, Policies; Safety Needles Called Ineffective
http://fines.kaiserpapers.org/bloodletter.html
Department
of Health Services Sanction Against Kaiser Permanente Santa
Clara
http://kaiserpapers.org/pdfs/kaiserDHSReport.pdf
21 pages
Kaiser Permanente Final Medical Survey Report - 1989 - CA Dept. of Corporations
Numerous deficiencies were found in all inspected facilities
http://businesspractices.kaiserpapers.org/1989.html
and
$1,000,000.00
Kaiser Foundation Health Plan (Margaret Utterback)
December 3, 2002
Dismissal of Amended Accusation
http://www.dmhc.ca.gov/library/enforcements/actions/055/6192.pdf
and
http://fines.kaiserpapers.org/enforcement.html
Kaiser
Fined
for Phlebotomy Practices, Policies; Safety Needles Called Ineffective
http://fines.kaiserpapers.org/bloodletter.html
Department
of Health Services Sanction Against Kaiser Permanente Santa
Clara http://kaiserpapers.org/pdfs/kaiserDHSReport.pdf
21 pages
Kaiser Permanente Final Medical Survey Report - 1989 - CA Dept. of Corporations
Numerous deficiencies were found in all inspected facilities
http://businesspractices.kaiserpapers.org/1989.html