Question
As a healthcare executive working in the United States, you must be familiar with the laws that govern the U.S. healthcare system. There are instances
As a healthcare executive working in the United States, you must be familiar with the laws that govern the U.S. healthcare system. There are instances when a case arises due to a violation of a previous ethical or legal precedent. Complete a legal analysis for each case. Your analysis will include the title of the case, a discussion of legal precedent, a summary of the legal opinion, and a specific discussion of how the case applies to healthcare administration decision making within the context of your own professional practice. Be sure to discuss whether each case is based on constitutional, statutory, or common law.
Three cases:
1. Ex-CFO, 3 surgeons charged in a $950M kickback scheme in California.
Federal prosecutors unsealed charges against nine new defendants for their alleged roles in a kickback scheme that resulted in the submission of more than $950 million in fraudulent claims, mostly to California's worker compensation system.
State Comp. Ins. Fund v. Drobot, 192 F. Supp. 3d 1080, 2016 U.S. Dist. LEXIS 83319 (United States District Court for the Central District of California June 24, 2016, Filed).
https://advance-lexis-com.eu1.proxy.openathens.net/api/permalink/3d08df8e-1af7-4079-9098-9b92798edf17/?context=1516831
2. Hospice operator pays $8.5M to settle False Claims Act lawsuit.
Hospice chain Caris Healthcare agreed to pay $8.5 million to settle allegations that it knowingly retained overpayments for patients that were ineligible for the Medicare hospice benefit.
United States ex rel. Hinkle v. Caris Healthcare, L.P., 2017 U.S. Dist. LEXIS 130516 (United States District Court for the Eastern District of Tennessee. August 16, 2017, Filed).
https://advance-lexis-com.eu1.proxy.openathens.net/api/permalink/308918ea-16da-41f9-891b-4e1305798eea/?context=1516831
3. Florida health system accused of illegally poaching physicians from competitors.
Physicians Regional Medical Group, Physicians Regional Medical Center-Pine Ridge, and Physicians Regional Medical Center-Collier Boulevard, all based in Naples, Fla., sued Naples-based NCH Healthcare System in federal court June 12 for allegedly stealing physicians from its practice.
Collier HMA Physician Mgmt., LLC v. NCH Healthcare Sys., 2019 U.S. Dist. LEXIS 9902, 2019 WL 277733 (United States District Court for the Middle District of Florida, Fort Myers Division January 22, 2019, Filed).
https://advance-lexis-com.eu1.proxy.openathens.net/api/permalink/fd7e8e66-0c52-4bd3-8030-40556a754bc3/?context=1516831
Step by Step Solution
There are 3 Steps involved in it
Step: 1
Get Instant Access to Expert-Tailored Solutions
See step-by-step solutions with expert insights and AI powered tools for academic success
Step: 2
Step: 3
Ace Your Homework with AI
Get the answers you need in no time with our AI-driven, step-by-step assistance
Get Started