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Medicaid managed-care firm improperly denied care to thousands

In early October, an executive at one of the nations largest physician-practice management firms handed her bosses the equivalent of a live grenade a 20-page report that blew up the company and shook the world of managed care for poor patients across California.

By Chad Terhune, Kaiser Health News | Updated on December 01, 2017
For years, according to a whistle-blower, SynerMed had improperly denied care to thousands of patients — most of them on Medicaid — and falsified documents to hide it. (Image: Shutterstock)

In early October, an executive at one of the nation’s largest physician-practice management firms handed her bosses the equivalent of a live grenade — a 20-page report that blew up the company and shook the world of managed care for poor patients across California.

For years, she wrote, SynerMed, a behind-the-scenes administrator of medical groups and managed-care contracts, had improperly denied care to thousands of patients — most of them on Medicaid — and falsified documents to hide it.

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