June 2013 --
Kaiser Hit with 4 Million Dollar Fine for Behavioral/Mental Health
Issues
March 2013 -
Kaiser Mental Health Final Report of Routine Medical Survey
Jan 2012 -
Non-routine Medical Survey - Ambulance Use
Feb 28 2011 -
California orders Kaiser to stop denying physical, occupational and
speech therapy to certain patients
mirrored for historical purposes here
December
09, 2011 -
Kaiser fined over vaccine
monitoring
Dec. 8, 2011
Two
patients who had received compromised pneumonia vaccines later died
from the illness
Kaiser
Foundation Hospital in Fontana faces two fines totaling
$75,000 - April 2010
Source: Mercury News
2010 Doc located here
https://kaiserpapers.com/fines/
pdfs/2010-Kaiser-Fontana-
Event.pdf
Source:CA Dept of Public Health Document
2009 Doc
located here:
https://kaiserpapers.com/fines/
pdfs/2009-Kaiser-Fontana-
Event.pdf -
Source:CA Dept of Public
Health Document
11-2009
Kaiser
Permanente's Oregon-based unit has agreed to pay $1.8 million to
settle charges of false billing brought by the federal Medicare
program.
KFHP
paid
approximately $715,000.00
in regulatory fines during 2008 - pdf file download.
Office of
Inspector General (OIG) Audits of Kaiser
FDA Warning
for experiments on patients
Violation
of Patient Privacy
Fines
Federal
Fines and Sanctions
California
Fines and
Sanctions(67+) roughly -
$8,267,500.00
City
of Los
Angeles Fines
$555,000.00
Colorado
State Sanctions and Fines
Maryland
Sanctions and fines
$100,000.00 +
Missouri
Fines and Sanctions
$550
Ohio
Sanctions and Fines
$49,963.00
Oregon
Sanctions and Fines
$105,624
Texas
Sanctions and Fines
$1,000,000.00
Official
Order of the
Commissioner of Insurance of the State of Texas
Washington
State Sanctions and Fines
$65,000
MAMMOGRAM
STAFF AND EQUIPMENT PROBLEMS
For
the average citizen to
better understand why small fines are given
to Kaiser - further insulting the people that have been
victimized by Kaiser proven criminal actions
|
California State hits Kaiser with 4
million dollar fine:
The
state of California Department of Managed Health Care said Kaiser made
patients wait at least 14 days after an appointment before they could
call to schedule another one, meaning a patient could not receive a
treatment plan that was pre-scheduled for several individual
appointments over a two- to three-month period among other things.
Dr.
Andris Skuja, a Kaiser psychologist, offered strong words in reaction
to the news of the $4 million fine and cease-and-desist order.
"This action confirms what every Kaiser clinician knows,"
Skuja said. "Kaiser doesn't take mental health care for its
patients seriously." (as published in
the Sacramento Bee -- http://www.sacbee.com/2013/06/26/5524446/kaiser-mental-health-care-lacking.html
)
Here is the cease and desist order.
http://wpso.dmhc.ca.gov/enfactions/docs/1974/1372174528050.pdf
Here is the original accusation:
http://wpso.dmhc.ca.gov/enfactions/docs/1974/1372174518706.pdf
January
2012 Non-Routine Medical Survey conducted by the California Department
of Managed Health Care - Pertaining to Ambulance/Transport Services and
patient reporting of denial of service.This survey took two years to
prepare and appears to be thorough. Numerous complaints were
investigated and are cited in the report.
You may read the DMHC Report in clear English here: http://www.dmhc.ca.gov/library/reports/med_survey/surveys/055Full013012.pdf
You may read Kaiser's response to the DMHC Survey here: http://www.dmhc.ca.gov/library/reports/med_survey/surveys/055fullplanresponse013012.pdf
Federal
Fines and Sanctions
Kaiser
Permanente pays $1.8 million over billing flaws
November
12, 2009, 7:45PM
Kaiser
Permanente's Oregon-based unit has agreed to pay $1.8 million to
settle charges of false billing brought by the federal Medicare
program.
The
U.S. Justice Department said Kaiser's hospice
program billed for services without obtaining written certifications of
terminal illness required by federal regulations.
http://www.oregonlive.com/portland/index.ssf/2009/11/kaiser_northwest_agrees_to_pay.html
mirrored for historical purposes at: https://kaiserpapers.com/fines/hospice-justice-department-kaiser-settlement.html
June
4, 2007
"Review
of Vendor Rebates Paid to Hospitals-Kaiser Foundation Hospitals and
Health Plans, Inc., Oakland, California (A-05-07-00051)
The
objective of the review was
to determine whether Kaiser Foundation Hospitals and Health Plans, Inc.
(the provider) reduced costs reported on its fiscal year 2003 Medicare
cost report by the $35,438 vendor rebate it received. The
provider did not reduce costs reported on its fiscal year 2003 Medicare
cost report by the $35,438 rebate, contrary to Federal regulations and
CMS guidance.
...recommended
that the provider (1) revise and resubmit its 2003 Medicare cost
report, if not already settled, to properly reflect the $35,438 rebate
as a credit reducing its health care costs
and (2) consider performing a self-assessment of its internal controls
to ensure that future vendor rebates are properly credited on its
Medicare cost reports. The provider agreed
http://oig.hhs.gov/oas/reports/region5/50700051.htm
April
15, 2003 Kaiser Foundation Hospital –Sunset, Los
Angeles, California,
agreed to pay $20,000 to resolve its liability for CMPs under the
patient
dumping statute. The OIG alleged that Kaiser was a hospital that had
specialized
capabilities or facilities that refused to accept the transfer from
another
hospital of an 83-year-old patient needing Kaiser’s
capabilities for coronary
bypass surgery. The OIG alleged that Kaiser’s cardiac surgeon
refused to
accept the transfer saying that the patient was too unstable to
transfer
and that he was going to die anyway. The patient was transferred to
another
hospital where he underwent successful surgery and was discharged.
December 05, 2005 Kaiser Foundation
Hospital, California, agreed to pay $20,000 to resolve its liability
for CMPs under the patient dumping statute.
OIA Kaiser Hawaii Agreement
Kaiser
needed corrective actions requested
by HHS for human research Oct, 23, 2000
Kaiser
caught overbilling Medicare. Fall 2002
HHS
It is the decision of the Medicare
Appeals Council that Kaiser Foundation Health Plan, Inc. is financially
responsible for the ambulance services obtained on February 27, 2002.
National
Summit
on Medical Errors
UNITED
STATES
DEPARTMENT OF LABOR BENEFITS REVIEW BOARD
The
Board held
that the administrative law judge's dismissal of a claim by Permanente
Medical Group/Kaiser Foundation Hospital an intervenor-petitioner,
constituted
an abuse of discretion.
SUBCOMMITTEE
ON OVERSIGHT AND INVESTIGATIONS- 103rd Congress
FOIA
WARNING LETTERS
USA
B4 FEDERAL
TRADE
COMMISSION MESA COUNTY PHYSICIANS INDEPENDENT PRACTICE ASSOCIATION
Kaiser
Foundation Research problems with procedures for human protection July
22, 1998 http://www.fda.gov/foi/warning_letters/t1936m.pdf
Kaiser Colorado Guaifenesin
extended relief
Tablet non FDA approval notice
http://www.fda.gov/foi/warning_letters/g3575d.pdf
April 8, 2003 In April 2001,
Coventry took over the Medicare contract for Kaiser
Permanente and
received payments under contract number
H1751 through December 31, 2000
http://oig.hhs.gov/oas/reports/region7/70200148.pdf
Kaiser
Sanction
of April 25, 2001 L A, Ca This is the Sanction regarding the lack of
care that Vickie Travis' father,
Adam
Wesley Arnold
received
which led to his death.
Medicare
Overpayment Kaiser Santa Clara of - $179,018.00 - Audit completed 2002
http://oig.hhs.gov/oas/reports/region7/70102630.pdf
Kaiser
Sanction by The Department of Health and Human
Services - April 25, 2001
https://kaiserpapers.com/fines/sanction.html
April
27,
1998 Review of Medicare Payments for Beneficiaries with Institutional
Status, Kaiser Foundation Health Plan, Portland, Oregon
(A-05-97-00023
)
Sanction
levied against Kaiser
Permanente Sunset Facility by the County of Los Angeles,
Department
of Health Services on behalf of the Federal Government
https://kaiserpapers.com/horror/heart/512.html
Department
of Health and Human Services - October 25, 2007 Survey report on Kaiser
Foundation Hospital Fresno. The Kaiser plan of correction was
denied by CMS as of February 1, 2008. A new Plan of
Correction by
Kaiser is due to CMS by February 8, 2008.
It
clearly states that
once again, that an investigation was initiated by the reporting of The
Los Angeles Times. The report states that when articles, such
as
this appear, it is necessary a regulatory investigation of the event
mentioned in the article occurs. - This means that
if the
only reason the government investigated this facility was because of
The Los Angeles Times, how many dozens of other hospitals or medical
facilities are the same or worse but are not investigated because there
is no large scale publicity? NOTE: This is a large
document. If it does not readily open online for you I
suggest
that you right click with your mouse and "save link as" to download it
to your computer.
https://kaiserpapers.com/pdfs/cmsfresnrecdfeb2008.pdf
FDA
Warning Letters
Warning
letter of February 26, 2007 to George Halvorson regarding the marketing
by Kaiser of Belladonna Alka/Ergotamine and PB (Bellamine S) tablets, a
drug
product containing ergotamine tartrate.
FDA
Warning Letters to Kaiser Permanente - Kaiser Vallejo
On
July 1, 2004, a representative of the State of
California, acting in behalf of the Food and Drug Administration (FDA),
inspected your facility. This inspection revealed a serious problem
involving the conduct of mammography at your facility.
https://kaiserpapers.com/fines/fda.html
Recalled Plasma - Kaiser
http://www.fda.gov/bbs/topics/ENFORCE/ENF00257.html
_____________
PRODUCT
Recovered Plasma, Recall
#B-359-3
CODE
Units
numbers: A21838,
A22033, A22066, A22135, A22137,
A22155,
A22184, A22207, A22234,
A22245, A22309, A22346,
A22371,
A30030, A30059,
A300068, A30087, A30101, A30111,
A30114,
A30159, A30183, A30184,
A30195.
MANUFACTURER
Southern California
Permanente Medical Group/dba Kaiser
Foundation
Blood Donor Center,
San Diego, California.
RECALLED
BY
Manufacturer by
telephone March 11, 1993 and by letter March
17,
1993.
Firm-initiated recall
ongoing.
DISTRIBUTION
Florida, California.
QUANTITY
24
units were
distributed.
REASON
Recovered Plasma,
collected from autologous donors who did
not
meet
the following
suitability requirements for
allogeneic
use was distributed
or: 1) reported histories of
hepatitis
or jaundice; 2)
exhibited signs or symptoms of
AIDS;
3)
reported recent
tattoos, ear piercing or
acupuncture
treatment; 4)
reported receiving an allogeneic
transfusion
within the twelve
months prior to donating; 5)
reported
a
history of cancer;
6) reported current use of
medications.
RECALLS
AND
FIELD CORRECTIONS:
BIOLOGICS -- CLASS III
==================
_______________
PRODUCT
Recovered Plasma. Recall
#B-360-3
CODE
Unit
numbers: A21987,
A22019, A22187, A22224, A22269,
A22272,
A22277, A22340.
MANUFACTURER
Southern California
Permanente Medical Group/dba Kaiser
Foundation
Blood Donor Center,
San Diego, California.
RECALLED
BY
Manufacturer by
telephone March 11, 1993, and letter March
17,
1993.
Firm-initiated recall
ongoing.
DISTRIBUTION
Florida, California.
QUANTITY
8
units were
distributed.
REASON
Recovered Plasma,
collected from autologous donors who did
not
meet
the following
suitability requirements for
allogeneic
use were
distributed: 1) reported histories of
hepatitis
or jaundice; 2)
exhibited signs or symptoms of
AIDS;
3)
reported recent
tattoos, ear piercing or
acupuncture
treatment; 4)
reported receiving an allogeneic
transfusion
within the twelve
months prior to donating; 5)
reported
a
history of cancer;
or 6) reported current use of
medications.
MAMMOGRAM
STAFF AND EQUIPMENT
PROBLEMS
Kaiser
Vallejo WARNING LETTER November 4, 2004 and also in pdf form at:
http://www.fda.gov/foi/warning_letters/g5069d.pdf
Oct. 15, 2003 Kaiser Parma, Ohio
http://www.fda.gov/foi/warning_letters/g4343d.pdf
and
http://www.fda.gov/foi/warning_letters/g4343d.htm
Kaiser Vallejo Dec. 10, 2001
http://www.fda.gov/foi/warning_letters/g2051d.pdf
Kaiser Hayward WARNING LETTER November 6,
2002 and in pdf form at:
http://www.fda.gov/foi/warning_letters/g3672d.pdf
Kaiser Baldwin Park June 8, 2001
http://www.fda.gov/foi/warning_letters/g1375d.pdf
Kaiser Panorama City June 8, 2001
http://www.fda.gov/foi/warning_letters/g3257d.pdf
Sept. 14, 2000 Pleasant Hill, California
http://www.fda.gov/foi/warning_letters/m4200n.pdf
Sept. 14, 2000 Antioch, California
http://www.fda.gov/foi/warning_letters/m4199n.pdf
September 29, 2000 Kaiser Mountain View,
California http://www.fda.gov/foi/warning_letters/m4246n.pdf
Oct. 19, 1998 Charlotte, NC
http://www.fda.gov/foi/warning_letters/m2130n.pdf
Oct, 22, 1999 Charlotte, NC
http://www.fda.gov/foi/warning_letters/m3096n.pdf
Sept. 2, 1999 - Chapel Hill, NC
http://www.fda.gov/foi/warning_letters/m2981n.pdf
Kaiser San Francisco May 7, 1998 -
http://www.fda.gov/foi/warning_letters/d1771b.pdf
Kaiser San Francisco - May 14, 1998
http://www.fda.gov/foi/warning_letters/d1781b.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$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
(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 Orderhttps://kaiserpapers.com/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
By
Tracy Weber and Charles Ornstein,
Times Staff Writer
9:09 PM PDT, July 25, 2007
LOS
ANGELES -- Kaiser Permanente will be assessed a record fine Thursday
for its haphazard investigations of questionable care, physician
performance and patient complaints at its California hospitals, state
HMO regulators said Wednesday.
The California Department of Managed Health Care said it will
levy a $3 million fine against Kaiser, the largest health maintenance
organization in the state, with 29 medical centers and more than 6
million members. If Kaiser makes necessary improvements, agency
director Cindy Ehnes said, she will forgive $1 million of that.
http://www.latimes.com/
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:
https://kaiserpapers.com/fines/dmhc72007.html
Kaiser
Told to Reinstate Coverage
Regulators'
action
in a kidney patient's case comes as scrutiny over cancellations grows.
By
Lisa Girion, Times
Staff Writer
October 19, 2006
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:
https://kaiserpapers.com/californianews/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
https://kaiserpapers.com/fines/kaiser1milliondollarfine.html
Kaiser
fined1/2
Million Dollars by DMHC in California for death of 19 year old for
denial
of medical treatment
https://kaiserpapers.com/fines/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.
https://kaiserpapers.com/fines/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.
https://kaiserpapers.com/horror/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.
https://kaiserpapers.com/horror/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.
https://kaiserpapers.com/californianews/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
https://kaiserpapers.com/fines/enforcement.html
Kaiser
Fined
for Phlebotomy Practices, Policies; Safety Needles Called Ineffective
https://kaiserpapers.com/fines/bloodletter.html
Department
of Health Services Sanction Against Kaiser Permanente Santa
Clara
https://kaiserpapers.com/pdfs/kaiserDHSReport.pdf
21 pages
Kaiser
Permanente Final Medical Survey
Report - 1989 - CA Dept. of Corporations
Numerous
deficiencies were found in all inspected facilities
https://kaiserpapers.com/businesspractices/1989.html
Colorado
State Sanctions and Fines
Kaiser fined $367,000 by state insurance
division
By Staff
July
15,
2009 --
DENVER
- Two units of
Kaiser Permanente have paid a total of $367,000 for 2007 market
violations.
The Colorado Division of Insurance, which announced the violations
yesterday, conducted two market examinations covering the 2007 calendar
year. Kaiser Foundation Health Plan of Colorado and Kaiser Permanente
Insurance Co. received fines of $201,000 and $166,000, respectively.
Payment was received on July 6.
The Division of Insurance, part of the Colorado Department of
Regulatory Agencies, carries out market conduct examinations of
insurance companies to ensure compliance with state insurance law and
regulations related to rating, underwriting and claim practices.
The Kaiser reports identified a number of issues, many dealing with
items in contracts and other forms. The reports also included issues
with claims, such as failure, in some instances, to:
- pay,
deny, or settle
claims
within the time periods required by Colorado insurance law;
- allow
the required
time for
submission of additional information before denying; and
-
provide notice of
appeal rights
on denied claims.
"Consumers count on health
insurers to provide
the services they have
purchased," said Insurance Commissioner Marcy Morrison in the
announcement. "It's imperative that companies fulfill their
responsibilities to the consumers. We have made it clear that our
mission is to protect consumers and these market conduct examinations
and resulting fines reflect our commitment."
mirrored for historical purposes from:http://www.ncbr.com/article.asp?id=101133
FYI
2001-02 Dept of Health Care Financing - Colorado
http://www.state.co.us/gov_dir/leg_dir/jbc/hcphrg.pdf
Kaiser
Radiation Events 2001 Colorado
http://www.nrc.gov/reading-rm/doc-collections/event-status/event/2001/20010705en.html
PNO-IV-01-27,
Kaiser Permanente,
TWO MEDICAL MISADMINISTRATIONS INVOLVING IODINE 131.
http://www.nrc.gov/reading-rm/doc-collections/commission/secys/2001/secy2001-0129/2001-0129scy.html
State
of Maryland Sanctions and fines
$100,000.00
+
http://mdinsurance1.mdinsurance.state.md.us/sa/documents/MIA-2007-01-025-Kaiser.pdf
mirrored
for historical purposes at:
https://kaiserpapers.com/fines/pdfs/
MIA-2007-01-025-Kaiser.pdf
The
Examination, the details of
which are contained in the Administration
Report
Number 857-03 ("the Report"), concluded that Respondent committed
violations of
the
following sections of the Insurance Article, the Health-General Article
and the Code of
Maryland
Regulations (“COMAR”):
• Section
2-207(b)(1) of the Insurance Article;
• Section
15-112 of the Insurance Article;
• Section
15-123(k)(1) of the Insurance Article;
• Section
15-822(2)(b) of the Insurance Article;
• Section
15-830(f) of the Insurance Article;
• Section
15-1005(c) of the Insurance Article;
• Section
15-1005(e)(3) of the Insurance Article;
• Section
15-1005(f) of the Insurance Article;
• Section
15-10A-02(f) of the Insurance Article;
• Section
19-712.1 of the Health-General Article;
• Section
19-713(a)(2) of the Health-General Article;
• COMAR
31.10.16.03B;
• COMAR
31.10.16.03C;
• COMAR
31.10.16.03F;
• COMAR
31.12.02.04A;
• COMAR
31.15.08.05.
ORDER
WHEREFORE,
pursuant to § 2-204 and § 4-113 of the Insurance Article it
is ORDERED by the Commissioner and AGREED to by Respondent, as follows:
3
A.
Respondent shall correct the violations of Maryland laws and
regulations stated herein within ninety (90) days from the date of
execution of this Order.
B. Respondent shall pay an
administrative penalty to the State of Maryland for the violations
stated herein in the amount of one hundred thousand dollars
($100,000.00) within thirty (30) days of the date the Commissioner or
his
designee signs this Order. Payments shall be made by check or
money order made payable to the Maryland Insurance Administration and
include the case number or name. Payment should be sent to the
attention of, Appeals Clerk, 525 St. Paul Place, Baltimore, MD
21202-2272.
C. Respondent agrees that all amounts paid under
Paragraph B of this Order shall not be included in or recoverable as
expenses in any rate filing filed with the Administration or any other
regulatory authority.
MIA
levies fines against HMO
http://baltimore.bcentral.com/baltimore/stories/2000/04/24/daily9.html
Missouri
Fines and Sanctions
$550
State
of Missouri
Dept. of Insurance Fines
Kaiser
Permanente Pulls out of Kansas City several fines and sanctions on this
web page.
https://kaiserpapers.com/news/kansascity1.html
State
of Oregon Sanctions and Fines
Kaiser
was overpaid $10,472 for 20 patients that they had reported as
Institutionalized. This was based on a quick check of 100
patients which were a random sample of 2,391 Medicare beneficiaries
reported as Institutionalized. Medicare determined that
Kaiser
overall was being overpaid $105,624 of patients incorrectly reported as
being Institutionalized. It was determined that part of the
overpayment was related to the poor record keeping of Kaiser
Permanente. It was determined that Kaiser had been overpaid
by at
least $105,624
for patients Institutionalized.
http://oig.hhs.gov/oas/reports/region5/59700023.pdf
STATE
OF OREGON DEPARTMENT OF
CONSUMER AND BUSINESS SERVICES
INSURANCE
DIVISION REPORT OF MARKET CONDUCT EXAMINATION
https://kaiserpapers.com/fines/kaiser96mc.html
Texas
Sanctions and
Fines
$1,000,000.00
Below is
information regarding Kaiser and the for profit Permanente's conduct
while working in the State of Texas. Rather than conform to the Texas
State laws and provide decent medical care, Kaiser and the for profit
Permanente left the state.
Official
Order of the Commissioner of Insurance of the State of Texas, Austin,
Texas - April 18, 1997
Kaiser Foundation Health Plan of Texas, Dallas, Texas Consent Order -
Docket No. C-97 97-0389 text and document
https://kaiserpapers.com/fines/texasorder.html
articles related to above action and referenced materials at:
https://kaiserpapers.com/news/kickedoutnews.html
TDI
Announces April 1997
Disciplinary
Actions
News
article regarding the Texas Department of Insurance Action.
Ehlmann
v.
Kaiser
Foundation Health Plan of Texas
Synopsis:
ERISA: No Duty to Disclose Physician Compensation
Arrangements-Ehlmann
v. Kaiser Found Health Plan of Texas1--The United States Court of
Appeals for the Fifth Circuit held that Health Maintenance
Organizations (HMOs) have no fiduciary obligation to disclose
physician
compensation under ERISA absent special circumstances or specific
inquiry.
Washington
State Sanctions and Fines
$65,000
Kaiser
Foundation Health Plan has been fined $65,000 for denying claims
from 299 policyholders in Southwest Washington who received care in
emergency rooms during 2003 and 2004.
Originally
Posted At:
http://seattletimes.nwsource.com/html/health/2003160415_kaiser29m.html
Mirrored for
historical purposes at:
https://kaiserpapers.com/65gs.html
CITY
OF LOS
ANGELES FINES
MAY 15, 2007 LA CITY ATTORNEY ROCKY DELGADILLO
ANNOUNCES LANDMARK SETTLEMENT ...http://www.lacity.org/atty/index/attyindex56045233_05152007.pdf
FEB. 14, 2007LA CITY ATTORNEY DELGADILLO DECRIES
HOSPITAL’S STONEWALLING OF ...
http://lafind.lacity.org/search?q=cache:Q4pK3QTl_uwJ:www.lacity.org/atty/index/attyindex56043354_
02142007.pdf+KAISER&access=p&output=xml_no_dtd&ie=UTF-8&client=LACITY&site=ATTY&proxystylesheet=
LACITY&oe=UTF-8
NOV. 16, 2006 LA CITY ATTORNEY ROCKY
DELGADILLO FILES LANDMARK CRIMINAL, CIVIL ACTIONS
AGAINST KAISER
FOR DUMPING HOMELESS PATIENT ON SKID ROW
http://www.lacity.org/atty/attypress/attyattypress6941681_11162006.pdf
In November 2006, the City Attorney’s
Office filed criminal charges and commenced
a civil
enforcement action against Kaiser Foundation
Hospitals stemming
.
SPONSORSHIP OF LEGISLATION TO
CRIMINALIZE HOMELESS PATIENT DUMPING
$555,000.00
http://www.iht.com/articles/ap/2007/05/15/america/NA-GEN-US-Homeless-Dumping.php
Kaiser
agrees to reforms in
settlement with Los Angeles aimed at ending homeless 'dumping'
Kaiser
will create new protocols for discharging homeless patients in
its chain of hospitals, train staff and allow retired U.S. District
Court Judge Lourdes G. Baird, a former U.S. attorney, to monitor its
progress, officials said Tuesday
mirrored for
historical
purposes at:
https://kaiserpapers.com/news/ca/reformbyda.html
http://abclocal.go.com/kabc/story?section=local&id=5307645&ft=print
Homeless
Dumping Case Settled
Ohio Sanctions and
Fines
May
19, 2000
Kaiser
received Medicare overpayments of $11,214 for 15 beneficiaries.
The 15 beneficiaries were part of a statistical sample of 100
beneficiaries reported as institutionalized between January 1, 1996 and
December 31, 1998. Based on these sample results Medicare
determined that Kaiser was overpaid $49,963.00 for
beneficiaries
incorrectly listed as institutionalized. Kaiser was advised
to
only refund the $11,214.00 although they were advised to investigate
themselves and if their figures agree with Medicare to return all the
money.
http://oig.hhs.gov/oas/reports/region5/59900045.pdf
KAISER
FOUNDATION HEALTH PLAN OF KANSAS
CITY, INC.,
Petitioner,
vs.
DIRECTOR
OF
REVENUE, Respondent.
No.
01-1135 RV
https://kaiserpapers.com/fines/kaisermissouri.doc
For the
average
citizen to better
understand why small fines are given
to Kaiser - further insulting the people that have been
victimized by Kaiser proven criminal actions please read:
Twenty
Things You Should Know About Corporate Crime
21 Corporate
Crime Reporter 25, June
12,
2007
from
Corporate Crime Reporter in Washington D.C.
http://corporatecrimereporter.com/twenty061207.htm
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