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.
Some models were once useful, but no longer are. How’s the “reliant on Medicare”, or even the “reliant on commercial payors”, model working out for you?
The majority of healthcare fraud schemes center on fraud perpetrated by physicians, but what about schemes orchestrated to victimize physicians?
It’s been said that people read published lists of disciplined fellow professionals out of a sense of schadenfreude, the pleasure derived from another’s misfortune.
Bureaucratic sorts are drawn to numbers because numbers can be gathered and processed and manipulated, all with the goal of lifetime employment for those bean counters.
In healthcare, size used to signal strength. Bigger meant more services, more specialists, more veritas. But what if all that bulk is actually a liability?
From insurance commissioner to healthcare fraudster to federal prison inmate.
According to Bain & Co, nearly one-quarter of physicians employed in health-system-led organizations are considering switching employers.
If you thought health care fraud required medical knowledge, think again.
Are you sure those consultants are helping to improve your business? Or are they potentially sending you to jail?