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Re: Family Planning Council of Philadelphia Sues Medicaid HMO for From: art fougner, md (evsono@pipeline.com) Sat Jul 21 15:06:59 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Miles Mahan: "Follow up on buying practice" Previous message: poongulali selvamuthu: "IUD of one twin!" In reply to: Dean Huffman: "Family Planning Council of Philadelphia Sues Medicaid HMO for" the more middle men, the smaller the eventual payout to those who actually see patients. why should this be news to anyone? what is news is that folks bright enough to meet the qualifications for entry into med school continually allow themselves to fall for these scams. just my opinion, i could be wrong. art At Fri, 20 Jul 2001, Dean Huffman wrote: > >.. > >KAISER DAILY REPRODUCTIVE HEALTH REPORT > >Family Planning Council of Philadelphia Sues Medicaid HMO for Nonpayment > >The Family Planning Council of Philadelphia on Wednesday filed a lawsuit in >federal court against Oaktree Health Plan, a Medicaid HMO, to recover more >than $1.2 million in unpaid funds for family planning services, the >Philadelphia Inquirer reports. Dorothy Mann, executive director of the >council -- which runs the federal family planning program in Southeastern >Pennsylvania through 25 local health care providers -- said, "Since April >1998, Oaktree has seriously defaulted on its payments for family planning >services and has made no payment since January." As the company accepted >federal Medicaid dollars for these services but did not fully pay >providers, Mann added, "Not only has Oaktree violated the law, but the HMO >has misappropriated government funds and ripped off taxpayers." The suit >is the second filed against the company in two months, and Christine >Bowser, head of the Pennsylvania Department of Public Welfare Medicaid HMO >program for Philadelphia, said, "We know that there are some issues and >some lawsuits and concern on the part of providers. It is not fair to say >that nobody is being paid." The Inquirer did not state when the case will >be heard (Goldstein, Philadelphia Inquirer, 7/19). -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: Miles Mahan: "Follow up on buying practice" Previous message: poongulali selvamuthu: "IUD of one twin!" In reply to: Dean Huffman: "Family Planning Council of Philadelphia Sues Medicaid HMO for"

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