BREAKING: Xerox Can’t Blame Doctors In $1B Texas Medicaid Fraud Row

Texas filed suit in May 2014 alleging the Xerox unit then known as ACS State Healthcare LLC, which administered claims for Texas from 2004 until 2012, signed off on $1.1 billion in claims for orthodontic services, a “substantial percentage” of which were allegedly paid in violation of Medicaid policies….…………….

Continue reading BREAKING: Xerox Can’t Blame Doctors In $1B Texas Medicaid Fraud Row

Government-Enabled Kickbacks Escalate Medical Prices

 

“Since the federal healthcare Anti-Kickback Statute GPO exception was created 30 years ago, the landscape has changed. The current GPO funding structure’s incentive is to ‘negotiate’ higher prices for its customers. The vendors with the most money can afford to pay the high fees and buy themselves into the game. The term ‘payola’—pay to play—comes to mind. The situation is exacerbated because insurers absorb the higher prices and thus hospitals may have less incentive to monitor pricing.”

Continue reading Government-Enabled Kickbacks Escalate Medical Prices