3 ms·

Ignore the article title. The Lown Institute describes the awards as for the "worst examples of profiteering and dysfunction in healthcare".

• s1artibartfast 2y ago
  Is crime dysfunction? I suppose it is if Medicare is so incompetent that fraud on that scale is possible.
  • munificent 2y ago
    Yes, the system has failed if a doctor can perform so much malpractice over such a long period of time without some supervisory organization discovering it.
    • lotsofpulp 2y ago
      If you do the fraud on a big enough scale, you can even get elected to be a governor and then US Senator. https://en.wikipedia.org/wiki/Rick_Scott https://en.wikipedia.org/wiki/Rick_Scott At worst, you pay some fines: https://abcnews.go.com/Health/wireStory/settling-fraud-case-ny-medicare-advantage-insurer-ceo-117094516 https://abcnews.go.com/Health/wireStory/settling-fraud-case-... > While dozens of CMS audits have concluded that health plans overcharged the government, the agency has done little to recoup money for the U.S. Treasury. >In a surprise action in late January 2023, CMS announced that it would settle for a fraction of the estimated tens of millions of dollars in overpayments uncovered through its audits dating to 2011 and not impose major financial penalties on health plans until a round of audits for 2018 payments, which have yet to be done. Exactly how much plans will end up paying back is unclear.