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Profits over Patients: The Nightmare Scenario for Managed Care Patients

San Luis Obispo, CA – The medical director of Coastal Communities Physician Network (CCPN) and Bakersfield Family Medical Center (BFMC), and Heritage Provider Network (HPN) filed a wrongful termination lawsuit alleging retaliation for his refusal to participate in an unlawful scheme to deny adequate medical care to patients.

According to the lawsuit, nursing staff and non-medical administrators routinely denied medical services, even when approved by the treating physician and their own medical director. The companies’ managers mandated a 6% rate of denials of all out-patient referrals, without consideration of the patients’ needs. They also refused to permit more than 3 elective procedures per day, regardless of the urgency of those procedures.

The terminated medical director, John S. McGee M.D., explained that he strongly supports managed care, but what these companies are doing is nothing more than managed profits. He was fired because he advocated for quality healthcare for his patients and insisted on performing his duties under the law.

These managed care administrators placed profits over patients. They are responsible for the care of hundreds of thousands of patients throughout southern and central California.

The Ernst Law Group represents regular people who have been wronged by large corporations, such as insurance companies.

If you are a patient or physician and have any additional information related to this type of conduct, please contact us.

When you submit information to the Ernst Law Group, you certify you have read the following:

  • Submission of information concerning this lawsuit, including through this website, does not create an attorney-client relationship with the Ernst Law Group. Ernst Law Group will not give you legal advice and does not agree to represent you or anyone else with respect to your potential legal claims, including claims related to this lawsuit. Ernst Law Group will not take any steps to initiate a lawsuit or your behalf or otherwise assert your potential legal claims.
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  • For ethics reasons, relating to the disclosure of confidential attorney-client communications, Ernst Law Group will not communicate about this case with any current employee of CCPN/BFMC or any other named defendant. If you are currently employed by of CCPN/BFMC (or any other named defendant), please do not submit any information via this website or otherwise initiate any communications with this office.

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Ernst Law Group custom tailors our representation to you. Our San Luis Obispo personal injury attorneys have been named Super Lawyers and Top Trial Attorneys by numerous organizations including the highest possible rating for ethics and skill. We have developed our negotiation and litigation expertise by successfully taking on the tough cases and fighting against the biggest corporations and insurance companies. We will put our decades of collective expertise to work when representing you in court if you’ve been harmed or a loved one lost his life due to negligence.


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