Few doubt that things need fixing in healthcare. But many, from DIYer docs to industry leaders, suffer from being inside an echo chamber.
Fraud on Fridays: $10.6 Billion – Does Crime Pay?
In a healthcare billing and payment system that’s so complex, it’s sad to say that criminals can stay a few steps ahead of the Feds. With $10.6 billion in bogus billing, some cutouts got caught, but the masterminds appear to have escaped with close to $1 billion.
How to Use the Law Before it Uses You.
Some laws derive from morality and others are purely the result of politicking and protectionism.
Fraud on Fridays: The Four Legs of Fraud
The DOJ kicked back when it secured a conviction against compounding pharmacy executive Sam Glover for a six-year drug alteration and misbranding conspiracy involving free flowing prescription forms and, well, racehorses.
Leadership Succession: The Hole You Never Notice Until You Fall Into It
Medical groups don’t usually collapse because their revenue dropped 3% last quarter.
Fraud on Fridays: The Case of Dr. Jorge Zamora-Quezada
Dr. Jorge Zamora-Quezada, a Texas rheumatologist, was sentenced earlier this year to ten years in federal prison for a healthcare fraud so brazen it left even seasoned prosecutors shaking their heads. Read the full DOJ press release.
The Healthcare Deal Partner Who Can End Your Career
In healthcare deals, one bad partner—or one bad flip—can end the game.
The BS MSO: Kickbacks Disguised as Investments Snare Another Round of Settlements
The Department of Justice just announced more than six million dollars in settlements with a former lab CEO, seven marketers, and two physicians. Their alleged wrong? Turning the concept of the “Management Services Organization” into a pay-to-play operation.
THE TIME TO ESTABLISH A BANKING RELATIONSHIP (NOT WHAT YOU LIKELY HAVE NOW) IS TODAY, NOT WHEN YOU NEED ONE
Is your medical group’s bank just holding your money—or helping you grow?
Strategic banking relationships can unlock leverage, improve deal flow, and strengthen your group’s financial position.
Surprise: The No Surprises Act Is Working, Just Not How Insurers Planned
The No Surprises Act wasn’t about patients. The fine print told a different tale: it was an insurer-protection law.