August 24, 2017

The widespread use of electronic health records, administrative claims, and social media and the ubiquity of smart devices have created “big data” that heretofore have not been widely utilized. There is substantial enthusiasm for the use of real-world data sources to generate so-called real-world evidence (RWE), but confusion remains about what RWE means. What is […]

Rob Roy

On May 6, 1968, the 82nd Airborne gave my Dad a leadership award called the “Iron Duke”, even though he was JAG and the regulars should have disliked him. That ought to tell you as much as you need to know about him. I’ve still got the heavy trophy in my office. We lived in […]

Local Quality Fraud in Healthcare Drives Up Costs: Help Us Eradicate it

From DOJ as reported in the Fort Myers News Press (A Gannet paper) “Today’s settlement demonstrates our unwavering commitment to protect the Medicare trust fund against unscrupulous providers,” said Principal Deputy Assistant Attorney General Benjamin C. Mizer, head of the Justice Department’s Civil Division. “Providers who waste taxpayer dollars by billing for unnecessary services will […]

They Got A Name For The Winners In The World

His friends called him Colonel. And he died the other day in the town where he grew up – Parkersburg, West Virginia. John Pfalzgraf was a child of The Greatest Generation. He worked for banks and accounting firms throughout his life but was mostly known as a fighter pilot (Marine during Viet Nam and Air Force […]

Common Sense

My chosen profession has been under attack (literally) my entire professional life. The year I took the Florida Bar (1987), President George Herbert Walker Bush declared war on “tassled loafed lawyers” as he pushed for tort reform sponsored by the Chamber of Commerce and other business and special interest organizations. His son, Jeb Bush, later […]

The Other Escobar

On this blog, I focus on what most of my clients have in common – the need for serious medical care and the attendant expenses. I often blog about Quality Fraud and share news items about how the cost of healthcare is driven by misrepresentations made in the course of providing care. Unlike other markets, […]

Overdose

On April 4, 1997, Charles Blair wrote a letter for the Joint Commission for the Accreditation of Hospitals Organization (JCAHO) to a Hospital Administrator. The JCAHO letter describes a “sentinel event” that occurred in March, during which a patient died in the Hospital Recovery Room from an overdose of concentrated medicine given by her healthcare providers […]