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Federal Contractor Misconduct Database (FCMD)

The federal government routinely awards contracts to companies with histories of misconduct, including contract fraud and other violations. POGO believes that providing this website will help to improve contracting decisions and increase public knowledge of how the government spends billions of taxpayer dollars each year. Read more…

Medicare Advantage Violations

The Centers for Medicare and Medicaid Services (CMS) fined Health Net $458,250 for Medicare Advantage-Prescription Drug violations discovered during an audit conducted from October 5, 2015 through October 19, 2015. CMS found that Health Net failed to comply with Medicare requirements related to Part D formulary and benefit administration and Part C and D organization/coverage determinations, appeals, and grievances. CMS determined that Health Net’s “systemic” failures in these areas resulted in enrollees experiencing inappropriate delays or denials in receiving covered benefits and increased out-of-pocket costs.

Misconduct Type
Consumer Affairs
Enforcement Agency
Health and Human Services
Contracting Party
None
Court Type
N/A
Disposition
Fine
Date of CMS Penalty Notice
2/29/2016
Contractors Involved Penalty
Total
Health Net, Inc. $458,250
Further Information Released
CMS Enforcement Letter 2/29/2016

Federal Contractor Misconduct Database