A Houston strip mall clinic. Mirrored windows. A price list based on which drug you’d receive. And a doctor who prescribed the same opioid cocktail to more than 99% of her patients.
Author: Mark
Utah Called It a Sandbox. Your Patients Are in It.
Utah has launched a program allowing AI to process prescription refills, but without clear regulatory authority or defined liability.
Fraud on Fridays: The Diagnosis That Wasn’t There
$556 million. One settlement. One health system that is simultaneously the insurer and the physician group. The largest Medicare Advantage risk adjustment fraud settlement in history, and a warning for every physician group in an MA contract.
AI in Medicine: Physician as Puppet or Physician as Puppet Master?
AI can either tighten institutional control over physicians or restore autonomy and human‑centered care. The difference isn’t technology, it’s who holds the strings.
Fraud on Fridays: Your Banker Is Watching
Your bank’s been deputized as the front line of healthcare fraud detection. Here’s what that means for you.
How to Escape the Factory-ification of Healthcare
Many physicians leave hospital or private‑equity owned practices only to recreate the same factory model they wanted to escape. Real differentiation comes from rejecting throughput medicine in favor of human‑centered care.
Fraud on Fridays: Operation Gold Rush
A Russian criminal organization allegedly bought dozens of legitimate Medicare-enrolled companies, installed fake owners, and submitted $10.6 billion in fraudulent DME claims. The government stopped almost all of it. Almost.
The Clinical AI Liability Gap
AI may assist clinicians, but replacing them creates a liability gap. Malpractice caps protect physicians, not algorithms, and the risk exposure is unlimited.
Fraud on Fridays: Operation Never Say Die
Healthy patients recruited at grocery stores, cash in envelopes, and a fraud ring that didn’t stop even when its ringleader was already sitting in a federal prison.
The FTC Just Told You Exactly What It’s Looking For. Is Your Noncompete on the List?
The FTC has abandoned a blanket ban on noncompetes, but is aggressively enforcing them in healthcare. What physician groups and physicians need to know now.