Community Activists Demand Action Against HealthCare Partners

A grassroots coalition, called “Our SALUD” is asking the state to take disciplinary action against HealthCare Partners calling it an illegally operating medical group. SALUD says that the Torrance-based medical group is operating without a Knox-Keen license, a mandatory requirement to do business in California. Physicians’ groups are not allowed to pay for or direct hospital care. Our SALUD charges that HealthCare Partners is directing hospital care and therefore providing its members a much narrower hospital network than members are entitled to under their policy.

On November 20, 2012 Senate President pro Tem Darrell Steinberg sent a letter to the Department of Managed Health Care (DMHC) outlining his concerns of oversight on these issues. On December 19, the Department of Managed Health Care responded explaining that it has been in discussions with HealthCare Partners for a year now. In late December, DMHC received confirmation from HealthCare Partners that it would pursue a Knox-Keen license.

Representatives from HealthCare Partners met with DMHC staff on December 18, 2012 for a pre-filing conference, which is the first step in the license application process. “It is troubling to hear that HealthCare Partners is being guided to licensure without first being penalized for essentially putting patient lives at risk,” said Nestor Valencia, Our SALUD Community Representative.

“Before even picking up a stethoscope a doctor must have the appropriate credentials and licensing to practice medicine. I do not understand how a medical group is not subject to the same scrutiny. The DMHC must take a stance to ensure this type of illegal activity doesn’t become common place for prospective groups,” said Elba Romo, Our SALUD Community Representative.

Our SALUD is looking to pursue a cease and desist from the DMHC until HealthCare Partners is licensed and fined for its actions. A lawsuit is underway alleging that a Los Angeles resident lost half of his facial bone structure due to negligent care by HealthCare Partners. Pending the DMHC’s cooperation, Our SALUD plans to take this issue to the Attorney General and Insurance Commissioner.

Last Updated 7/11/2017

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