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Platinum Health Care gets new shine after changing practices.


STATE regulators have lifted a cease and desist order An order issued by an Administrative Agency or a court proscribing a person or a business entity from continuing a particular course of conduct.

The force and effect of a cease and desist order are similar to those of an Injunction issued by a court.
 against Platinum Health Plus three months after cracking down on it and other discount health plans, maintaining some are fraudulent.

Regulators with the state Department of Managed Health Care say that the Miami-based company, which bills itself as the largest discount health plan in the nation, has "significantly changed its business practices and advertising" and is being allowed to operate under several conditions.

The company will have to get approval for all its advertising and marketing scripts, and also will be required to register with the department by July 31.

Discount health plans offer consumers lower prices on doctors' visits, drugs and other health care services in exchange for a fee. However, they are not like traditional insurance because consumers still bear all the risk for any treatment or drugs they need.

Regulators maintained that many consumers who signed up did not understand they were not traditional insurance plans, and that some plans even offered bogus provider networks with doctors who hadn't agreed to offer discounts.

Officials with Platinum Health Plus, who had bristled bris·tle  
n.
1. A stiff hair.

2. A stiff hairlike structure: the bristles of a wire brush.

v. bris·tled, bris·tling, bris·tles

v.intr.
 at being linked with bogus operators but had pledged to work with the department, issued a statement praising the department for lifting the cease and desist order.

"We responded to every request from the regulatory staff," said company President Michael Garcia in the statement. "They now recognize PHP (PHP Hypertext Preprocessor) A scripting language used to create dynamic Web pages. With syntax from C, Java and Perl, PHP code is embedded within HTML pages for server side execution.  as a bona fide [Latin, In good faith.] Honest; genuine; actual; authentic; acting without the intention of defrauding.

A bona fide purchaser is one who purchases property for a valuable consideration that is inducement for entering into a contract and without suspicion of being
 pro-consumer medical discount program."

The department had received 78 complaints against PHP, but the company maintained that they were only allowed to examine two, which were found to be meritless. Company officials also said the complaints only represented one-fifth of one percent of its 35,000 California customers.

Despite lifting the cease and desist order against PHP, the department is continuing its crackdown crack·down  
n.
An act or example of forceful regulation, repression, or restraint: a crackdown on crime.

Noun 1.
 against the plans, and is currently investigating 13 other companies. It also has not lifted a cease and desist order against Family Health Plan, a Houston-based company.

"The Department of Managed Health Care and this Administration will not tolerate discount health care companies that deceive TO DECEIVE. To induce another either by words or actions, to take that for true which is not so. Wolff, Inst. Nat. Sec. 356.  consumers," said DMHC DMHC Department of Managed Health Care (California)  Director Cindy Ehnes in a prepared statement.
COPYRIGHT 2005 CBJ, L.P.
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Copyright 2005, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Article Details
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Title Annotation:Health Care
Author:Darmiento, Laurence
Publication:Los Angeles Business Journal
Geographic Code:1U5FL
Date:Jan 10, 2005
Words:353
Previous Article:Scientist says he should have disclosed Herbalife interest.(Up Front, University of California at Los Angeles)(Louis Ignarro)
Next Article:County savings.(Health Care)(Los Angeles County decides to replace existing medical network system)(Brief Article)
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