California Court of Appeal
Centinela Freeman Emergency Medical Associates v. Health Net of California, B238867
Judgment for defendant-health management organization (HMO) in an action where plaintiff-physicians alleged defendant-HMO negligently delegated responsibility of payment for emergency services for some of their enrollees to an independent practice association (IPA), is reversed and remanded, where: 1) the HMO has a continuing duty not to delegate its obligation to reimburse emergency physicians to an IPA it knows or has reason to know will be unable to pay; and 2) plaintiff-physicians have alleged sufficient facts to reflect the existence of a claim for a negligent delegation by the HMO's in this case, and/or a negligent failure to timely reassume a delegated obligation.
Appellate Information
- Decided 02/19/2014
- Published 02/19/2014
Judges
- CROSKEY
Court
- California Court of Appeal