Hacker News new | ask | show | jobs
by s1artibartfast 532 days ago
Strange list, some of this is flat out crime, not "profiteering". Fly by night companies submitting 2 billion in false Medicare invoices isn't capitalism. It is simple fraud taking advantage of Medicare incompetence. Same for doctors giving giving people chemo for years despite them never actually having cancer.
1 comments

Ignore the article title. The Lown Institute describes the awards as for the "worst examples of profiteering and dysfunction in healthcare".
Is crime dysfunction? I suppose it is if Medicare is so incompetent that fraud on that scale is possible.
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.
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

At worst, you pay some fines:

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.