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In 2008, Health Net agreed to pay $215M to settle allegations that it had unfairly reimbursed out-of-network providers between 1995 and 2007. [ 25 ] In September 2012, the Los Angeles County Medical Association and two patients sued Health Net for denying medically necessary treatment, including cancer care. [ 26 ]
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The Community Partner Program provides Primary, specialty, and dental care services are available to people of all ages who reside in Los Angeles County and whose net family income is at or below 133-1/3% of the Federal Poverty Level (or are General Relief (GR) Recipients), and who do not qualify for Medi-Cal or any other government or third ...
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L.A. Care is governed by a 13-member stakeholder Board of Governors representing consumers, community clinics, physicians, hospitals, federally-qualified health centers, children's health care providers, and the Los Angeles County Department of Health Services. Two of the seats are held by consumers who are elected by L.A. Care enrollees.
In February 2008, the company acquired Sierra Health Services for $2.6 billion. [28] As part of the transaction, to obtain regulatory approval, 25,000 customers were sold to Humana. [29] In July 2009, UnitedHealth Group agreed to acquire Health Net's Northeast licensed subsidiaries for up to $570 million in payments spread out over two years. [30]
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