a clinic could mis-report (over-report?) how many patients they treated, and/or the procedure. They can then claim back more money than they actually spent, netting easy profit.
Some years ago, I met a doctor on vacation - bit of an ass, but whatever
Last year, I found out he’d gone to prison for “performing procedures” that he was mot present for, including some whilst he was on the beach in Fiji with me!
So, the federal government already has procedures to catch cheats at every level.
This happened to me. When I first moved to Boston I went to a new dentist who kept remarking how great my dental insurance coverage was. It turned out I had a cavity which was fully covered by my insurance so I went to his office, got the novocaine shot and spent an hour with the guy supposedly drilling in my mouth. I saw the dentist for about a year and had three cavities. The only three I'd ever had in my life.
A year or so later I switched to a dentist who was closer to my office. I told him I had had three cavities but they weren't showing up on the x-rays he took. We did two or three sets of x-rays before we figured out they were never going to show up because he had just been billing my great insurance for work he didn't actually do.
Solved by not allowing money to enter the circle. Results in you needing to sell the drugs/things you overcount on, which is rather easy to track and find out.
If they are public employees, they have sort of a standardized salary coming straight from the healthcare ministry/department/whatever where the specific hospital just administer the HR part. You still think in a for profit manner, where healthcare in most countries is not a for-profit endeavour. As long as it works, it's fine, even if it's a net negative. You try to limit the money you waste and inefficiencies, but not by pulling levers on the staff salaries.
>You still think in a for profit manner, where healthcare in most countries is not a for-profit endeavour.
And in the US it's not.
Assuming that you can simply remake a massive chunk of the economy (hospitals, doctors, nurses, clinics, etc, etc) to be government owned is silly. People will protest, lobbyists will be paid and it won't happen. If your only solution to the problems people point out is essentially magic then, no, it's not a valid solution.
Some years ago, I met a doctor on vacation - bit of an ass, but whatever
Last year, I found out he’d gone to prison for “performing procedures” that he was mot present for, including some whilst he was on the beach in Fiji with me!
So, the federal government already has procedures to catch cheats at every level.