The Forbes report is here: Report: Whistleblower accuses CVS of “calculated and widespread” drug pricing scheme targeting elderly patients
Turns out, politics isn’t the only place where misinformation is used to ply the soil that grows bad ideas. In the 1980’s, health care providers and insurance carriers deliberately and falsely yelled that the sky was falling due to negligence claims and payouts. Their solution? Caps on damages in the most righteous and significant cases. […]
In the late 1980s, the Florida legislature set up a regulatory scheme to immunize doctors and hospitals by locking Florida courthouse doors to the families of some children who suffer severe brain damage during birth. All government programs get an acronym and the acronym for this burden-shifting agency is NICA (The Florida Birth-Related Neurological Injury […]
Marketing can cover a lot of warts. Meanwhile, in the real world, people behave in line with our experience and the incentives put in front of them, even where it conflicts with what we know to be right and wrong. From the NYT, Mr. Williams said a State Farm claims adjuster told him that she […]
“They insist that you go through an advice nurse as opposed to just calling the doctor directly to set up an appointment, which was what I was trying to do,” Flach said. “You should have the option of calling your own doctor.” Kaiser doesn’t just get between you and your doctor. They also get between […]
This legal concept is used by the Department of Justice to recover lost, wasted, or stolen money in the health care market. In 2016, I blogged about it in the context of prescription drug costs right here. I was watching a Netflix show last night and Martin Shkreli (played by an actor) made an appearance […]
If you follow the Department of Justice alerts, you know that the Feds recover hundreds of millions of dollars in waste, fraud, and abuse in our health insurance system every year. Why is this considered acceptable? #QualityFraud Ex-CEO of medical imaging companies sentenced to prison in $250 million fraud scheme
CMS Changes Coverage Rules On Breakthrough Devices
In protecting children and families from the devastating consequences of medical error in obstetrics. That has been a constant theme of my practice for over thirty years and continues to this day.
Harvard: Human Insulin To Fix US Market Failure?
