Feds Reach Largest Government Fraud Settlement
W A S H I N G T O N, Dec. 14
Michael J. Sniffen
The Healthcare Company-HCA, the nation’s largest for-profit hospital chain, agreed today to plead guilty to defrauding government health-care programs and will pay more than $840 million in criminal fines, civil penalties and damages.
The agreement reached after a seven-year federal investigation triggered by private whistleblowers is the largest government fraud settlement ever negotiated by the Justice Department.
The company agreed to cooperate with a continuing investigation that Attorney General Janet Reno said could still produce criminal charges against individuals in what Deputy Assistant FBI Director Thomas Kubic called “one of the FBI’s highest priority white-collar crime investigations.”
The agreement did not settle civil allegations that HCA unlawfully charged the government for the costs of running its hospitals and that it paid kickbacks to doctors so they would refer Medicare and Medicaid patients to its facilities.
The two HCA units that pleaded guilty — Columbia Homecare Group Inc. and Columbia Management Companies Inc. — agreed to pay more than $95 million in criminal fines and were barred from further participation in federal health-care programs.
Separately, HCA agreed to pay $745 million in civil penalties for its alleged false billing practices — a figure negotiated last spring but not finalized until the criminal settlement was announced today.
Reno: Fraud Hurts
“Health care fraud impacts every American citizen,” Reno told a news conference. “If you overbill the U.S. taxpayer, then we are going to make you pay it back and then some.”
She said it was the largest health-care fraud investigation in history, involving 30 U.S. attorney’s offices, 22 FBI field offices, inspectors general from the Health and Human Service Department and the Office of Personnel Management, Defense Department investigators and state fraud units.
HCA co-founder and chief executive Thomas Frist Jr., the brother of U.S. Sen. Bill Frist, R-Tenn., said from the company’s Nashville headquarters: “Today’s action represents one of the last steps needed to put the Columbia investigation behind us and allows us to move forward, maintaining our focus on providing quality patient care.”
Frist ousted Richard L. Scott as chief executive in July 1997 and began a restructuring of the company. HCA got out of the home health-care business and sold or consolidated more than 100 hospitals. The chain currently has about 200 hospitals.
Feds Reach Largest Government Fraud Settlement - ABC News
The above is for-profit from 2001
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Hospice Patients Alliance - hospice fraud hospice scams and how to avoid them
This is just the level of fraud before. Note that when healthcare started moving towards for profit that the investors came before patients. Still do. But, those for profit hospitals and medical care could police their own, amiright? Profit over people. Choosing your own doctor? Lost that with the health care reform in the 90s. It's called managed care. HPOs, PPOs, POS.
Lobbied for by...........ding ding ding.......the insurance companies.
So, 95% of people had insurance through the workforce in 1978 and that declined to 14% by 1998. Lower income people couldn't get access to it. People were deliberately cut off at 35 hours so that they couldn't acquire the crap ass insurance that was carried. Two jobs and sometimes three jobs were necessary to make ends meet. This of course put them over the line to qualify for aid or even the sliding scale fee. So, it cost $80 to walk into the door of a clinic. Could not get testing or pay for a prescription.
Side note: What is really fun is listening to people recognize the ability to negotiate with larger groups of people and then trash unions. Hi-larious. Fun stuff.
And watch out for what's next. Kids not able to get that testing? Watch them shut down satellite offices for clinics in the health departments and send the nurses out to the school. They won't bat an eye. You won't either.
Would you like to learn about medicaid divorces?
How is this news?
Being a Democrat, I face the criticisms all the time:
If you KNOW the health care system is corrupt, the public school system,
the public housing system, WHY KEEP GIVING MORE MONEY AND MORE CONTROL to them
when there isn't adequate CHECK on "pseudo-govt" institutions
that mix public with private and CREATE these disasters. like duh!
Please see my previous post.
Republicans blame Democrats for setting up a failed system so they won't support that,
while Democrats blame Republicans for making it fail by NOT supporting it.
If you don't agree to support it, then don't use govt for that.
And then whatever you do set up, will have support of everyone to work!
Is that so foreign?
The idea that if everyone is behind something, then they'l help make it work,
but if they don't believe in something you can't force it on them.
Why not stick to what all people agree will work and define/limit
government to reflect the WILL or CONSENT of the PEOPLE.
I guess that just makes too much sense, and can't be twisted around and sold for votes....
Cut the shit. You're not a democrat. You're a whatever is useful at the moment.
Point? Do think doctors, nurses, and scientists, working in the medical field should work for free?Medical care is profit driven.
That misses the mark. In fact, it distorts the picture.
The question is........do you think health care should be decided by the investors?
We have always had a mixed market economy.
Are you actually asking me if it should be legal to have private investments in health care improvements and research?
Government's job is to break up monopolies on things like health care, not BECOME the monopoly.
I'm asking you, do you think health care should be decided by the investors?
Your strawman is nonsensical. It is equivalent to asking if picking one's nose should be decided by investors.
Google translation: NO