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Same author actually. But yes, Medicare fraud is all too common. I honestly don’t understand why — Medicare fraud is very easy to catch with modern analytics an
by exelius 8y ago
Same author actually. But yes, Medicare fraud is all too common. I honestly don’t understand why — Medicare fraud is very easy to catch with modern analytics and the penalties are stiff. But it persists...
CMS is moving to outcome-based payments for this reason. Too many relapses coming from your treatment center? You get less per patient until your results improve. That should eventually help reduce this kind of behavior.
- njarboe 8y agoMay reduce this kind of behavior but this type of measurement for competency selects for centers that only recruit and accept people that are likely to recover and not the hard cases (who are the people most in need of the service). Hard core addicts need not apply. The principle/agent problem pops up everywhere.