wandering stars

The July 16 orders allege that Accountable Health Care IPA allowed unqualified executives to perform medical reviews “involving a modification or denial for requested medical services.” The orders say the decisions were reached “on many occasions” since Dec. 24, 2008.

The orders also allege that Ambarish Pathak, a utilization manager, andDruvi Jayatilaka, vice president and the CEO’s son, may have ruled on patient care matters on more occasions “that are now concealed” because the company does not track who completed medical reviews of requested care. Orders sent to the managers ask them to stop violating the state’s Health and Safety code.