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Wednesday June 19th 2013

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DMHC Officials Issue Cease and Desist Order to Health Care Group

legal settlementDMHC has accused Druvi Jayatilaka, vice president of the Accountable Health Care IPA, and another employee, Ambarish Pathak, of engaging in utilization reviews on behalf of nine health plans, even though the employees are not licensed physicians. California law requires individuals who engage in prospective medical reviews to be licensed physicians. This has caused the California Department of Managed Health Care to issue a cease and desist order against them according to a story at CaliforniaHealthline.com