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	<title>HealthExecNews &#187; Fraud &amp; Waste</title>
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	<description>Healthcare Management News and Insights</description>
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		<title>Justice Dept.: 2011 record-setting year for fraud settlements</title>
		<link>http://healthexecnews.com/justice-dept-2011-record-setting-year-for-fraud-settlements</link>
		<comments>http://healthexecnews.com/justice-dept-2011-record-setting-year-for-fraud-settlements#comments</comments>
		<pubDate>Thu, 22 Dec 2011 10:00:22 +0000</pubDate>
		<dc:creator>Carol Katarsky</dc:creator>
				<category><![CDATA[Fraud & Waste]]></category>
		<category><![CDATA[Healthcare Legal & Compliance]]></category>
		<category><![CDATA[In this week's e-newsletter]]></category>
		<category><![CDATA[Latest News & Views]]></category>
		<category><![CDATA[Medicare & Medicaid News]]></category>
		<category><![CDATA[Dept. of Justice]]></category>
		<category><![CDATA[False Claims Act]]></category>

		<guid isPermaLink="false">http://healthexecnews.com.pbpmedia.net/?p=5304</guid>
		<description><![CDATA[The Justice Department announced that fiscal year 2011 saw a record amount  &#8212; more than $3 billion &#8212; in settlements and judgments. That&#8217;s the second year in a row the department has recovered more than $3 billion in civil fraud cases against the government. Between January 2009 and September 2011 (the end of the &#8217;11 [...]]]></description>
			<content:encoded><![CDATA[<p>The Justice Department announced that fiscal year 2011 saw a record amount  &#8212; more than $3 billion &#8212; in settlements and judgments. <span id="more-5304"></span>That&#8217;s the second year in a row the department has <a href="http://www.justice.gov/opa/pr/2011/December/11-civ-1665.html" target="_blank">recovered more than $3 billion in civil fraud cases</a> against the government. Between January 2009 and September 2011 (the end of the &#8217;11 fiscal year) the government recovered a total of $8.7 billion. That&#8217;s the largest three-year collection total in the history of the department.</p>
<p>The total for 2011 includes a record $2.8 billion in recoveries under the whistleblower provisions of the False Claims Act, which is the government’s primary civil remedy to redress false claims for federal money or property, such as Medicare benefits, payments on military contracts, and federal subsidies and loans. $2.4 billion of that money came from cases involving fraud against federal health care programs.</p>
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		<title>$1M+ embezzlement nets accountant jail time</title>
		<link>http://healthexecnews.com/1m-embezzlement-nets-accountant-jail-time</link>
		<comments>http://healthexecnews.com/1m-embezzlement-nets-accountant-jail-time#comments</comments>
		<pubDate>Thu, 15 Dec 2011 10:00:22 +0000</pubDate>
		<dc:creator>Carol Katarsky</dc:creator>
				<category><![CDATA[Ethics]]></category>
		<category><![CDATA[Fraud & Waste]]></category>
		<category><![CDATA[Healthcare Finance]]></category>
		<category><![CDATA[Healthcare Legal & Compliance]]></category>
		<category><![CDATA[In this week's e-newsletter]]></category>
		<category><![CDATA[Latest News & Views]]></category>
		<category><![CDATA[Michigan]]></category>
		<category><![CDATA[Munson Healthcare]]></category>
		<category><![CDATA[Susan J. Morrison]]></category>
		<category><![CDATA[Traverse City]]></category>

		<guid isPermaLink="false">http://healthexecnews.com.pbpmedia.net/?p=5156</guid>
		<description><![CDATA[A hospital accountant is headed to jail after embezzling more than $1 million from her employer&#8217;s accounts. Susan J. Morrison, a former accountant at Munson Healthcare in Traverse City, Michigan, was sentenced to 46 months in prison and ordered to pay over $1 million in restitution. She had previously pleaded guilty to wire fraud and [...]]]></description>
			<content:encoded><![CDATA[<p>A hospital accountant is headed to jail after embezzling more than $1 million from her employer&#8217;s accounts. <span id="more-5156"></span>Susan J. Morrison, a former accountant at Munson Healthcare in Traverse City, Michigan, was <a href="http://record-eagle.com/latest-mobile/x1033440474/Munson-embezzler-gets-prison" target="_blank">sentenced to 46 months in prison and ordered to pay over $1 million in restitution</a>. She had previously pleaded guilty to wire fraud and money laundering.</p>
<p>According to prosecutors, between October 2007 and April 2011, Morrison transferred funds from Munson’s Regional Healthcare Foundation’s bank account to an account for her former business. She used the money for such necessitates as buying dozens of boxes of trading cards.</p>
<p>Morrison is required to forfeit any funds and goods she acquired from the crime. So far, over $36,000 has already been seized from various bank accounts.</p>
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		<title>Annual cost of health data leaks: $6.5 billion</title>
		<link>http://healthexecnews.com/annual-cost-of-health-data-leaks-6-5-billion</link>
		<comments>http://healthexecnews.com/annual-cost-of-health-data-leaks-6-5-billion#comments</comments>
		<pubDate>Tue, 06 Dec 2011 10:00:01 +0000</pubDate>
		<dc:creator>Carol Katarsky</dc:creator>
				<category><![CDATA[Ethics]]></category>
		<category><![CDATA[Fraud & Waste]]></category>
		<category><![CDATA[Healthcare Technology News]]></category>
		<category><![CDATA[Hospital Management]]></category>
		<category><![CDATA[In this week's e-newsletter]]></category>
		<category><![CDATA[Latest News & Views]]></category>
		<category><![CDATA[Patient/Client Communication]]></category>
		<category><![CDATA[data breach]]></category>
		<category><![CDATA[patient information]]></category>
		<category><![CDATA[Ponemon Institute]]></category>
		<category><![CDATA[research]]></category>

		<guid isPermaLink="false">http://healthexecnews.com.pbpmedia.net/?p=5038</guid>
		<description><![CDATA[When patient data is breached there&#8217;s a cost to patient privacy, but hospitals face a steep cost to their own bottom lines. According to the second annual study of data breaches among health care organizations by Ponemon Institute, the average annual cost of such leaks is $6.5 billion. Over the past year, the number of [...]]]></description>
			<content:encoded><![CDATA[<p>When patient data is breached there&#8217;s a cost to patient privacy, but hospitals face a steep cost to their own bottom lines. <span id="more-5038"></span></p>
<p>According to the second annual study of data breaches among health care organizations by Ponemon Institute, the average <a title="How did hospital lose 20k patient records for a year?" href="http://healthexecnews.com./how-did-hospital-lose-20k-patient-records-for-a-year" target="_blank">annual cost of such leaks is $6.5 billion</a>.</p>
<p>Over the past year, the number of data breaches has increased by 32%. According to responding organizations, the most common cause of such breaches is simple employee negligence and mistakes.</p>
<p>Adding fuel to the fire: The vast majority of health care organizations (80%) don&#8217;t monitor mobile devices that can most easily transmit protected information &#8212; whether deliberately or accidentally.</p>
<p>A free copy of Ponemon&#8217;s 2011 Benchmark Study on Patient Privacy and Data Security can be found <a href=" http://www.ponemon.org/news-2/23" target="_blank">here</a>.</p>
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		<title>Obama takes action on growing drug shortage crisis</title>
		<link>http://healthexecnews.com/obama-action-drug-shortage-crisis</link>
		<comments>http://healthexecnews.com/obama-action-drug-shortage-crisis#comments</comments>
		<pubDate>Thu, 03 Nov 2011 10:00:14 +0000</pubDate>
		<dc:creator>Carol Katarsky</dc:creator>
				<category><![CDATA[Ethics]]></category>
		<category><![CDATA[Fraud & Waste]]></category>
		<category><![CDATA[Healthcare Finance]]></category>
		<category><![CDATA[Hospital Management]]></category>
		<category><![CDATA[In this week's e-newsletter]]></category>
		<category><![CDATA[Latest News & Views]]></category>
		<category><![CDATA[drug shortage]]></category>
		<category><![CDATA[FDA]]></category>
		<category><![CDATA[Obama]]></category>
		<category><![CDATA[prescriptions]]></category>

		<guid isPermaLink="false">http://healthexecnews.com/?p=4797</guid>
		<description><![CDATA[The nationwide shortage of key medications is finally getting some attention from the White House. President Obama just issued an executive order intended to eventually end the shortages of vital medications used to treat cancer and other life-threatening illnesses. The order instructs the FDA to increase reporting of potential shortages, fast-track the review of applications [...]]]></description>
			<content:encoded><![CDATA[<p>The nationwide shortage of key medications is finally getting some attention from the White House. <span id="more-4797"></span>President Obama just issued an executive order intended to eventually end the <a href="http://healthexecnews.com/drug-shortages-lead-to-pill-scalping" target="_blank">shortages of vital medications</a> used to treat cancer and other life-threatening illnesses.</p>
<p><a href=" http://www.nytimes.com/2011/10/31/health/policy/medicine-shortages-addressed-in-obama-executive-order.html?_r=1&amp;emc=eta1" target="_blank">The order instructs the FDA</a> to increase reporting of potential shortages, fast-track the review of applications to start or change production of shortage-related drugs and give information about potential price gouging or collusion to the Justice Department.</p>
<p>So far a record number of drugs &#8212; nearly 200 of them &#8212; have been declared in an official shortage. Prices have skyrocketed and some <a href="http://healthexecnews.com/congress-investigate-drug-price-gouging" target="_blank">hospitals have reported instances of drug scalping</a> and being offered goods that <a href="http://healthexecnews.com/drug-shortages-blamed-in-death-of-at-least-15-patients" target="_blank">a</a><a href="http://healthexecnews.com/drug-shortages-blamed-in-death-of-at-least-15-patients" target="_blank">ppeared to have been stolen and/or dangerously mishandled by third-party vendors</a>.</p>
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		<title>Disabled vet blows lid off multi-million dollar Medicaid fraud</title>
		<link>http://healthexecnews.com/disabled-vet-blows-lid-off-multi-million-dollar-medicaid-fraud</link>
		<comments>http://healthexecnews.com/disabled-vet-blows-lid-off-multi-million-dollar-medicaid-fraud#comments</comments>
		<pubDate>Tue, 11 Oct 2011 10:00:18 +0000</pubDate>
		<dc:creator>Carol Katarsky</dc:creator>
				<category><![CDATA[Ethics]]></category>
		<category><![CDATA[Fraud & Waste]]></category>
		<category><![CDATA[Healthcare Legal & Compliance]]></category>
		<category><![CDATA[Patient/Client Communication]]></category>
		<category><![CDATA[Special Report]]></category>
		<category><![CDATA[Maxim Healthcare]]></category>
		<category><![CDATA[Medicaid]]></category>
		<category><![CDATA[New Jersey]]></category>
		<category><![CDATA[New York Post]]></category>
		<category><![CDATA[Richard West]]></category>
		<category><![CDATA[Veterans Administration]]></category>
		<category><![CDATA[whistle-blower]]></category>

		<guid isPermaLink="false">http://healthexecnews.com/?p=4586</guid>
		<description><![CDATA[For his efforts uncovering a Medicaid fraud that the government couldn&#8217;t, the veteran pocketed a $15 million whistle blower payout. Richard West, a 63-year-old Vietnam vet living in New Jersey knew something was wrong when medical services he needed were being cut back because he had supposedly reached the spending limit. West has muscular dystrophy, [...]]]></description>
			<content:encoded><![CDATA[<p><img class="alignnone size-full wp-image-88" title="insurance-costs" src="http://healthexecnews.com/wp-content/uploads/2009/09/insurance-costs.jpg" alt="insurance-costs" width="360" height="251" /></p>
<p>For his efforts uncovering a Medicaid fraud that the government couldn&#8217;t, the veteran pocketed a $15 million whistle blower payout. <span id="more-4586"></span></p>
<p>Richard West, a 63-year-old Vietnam vet living in New Jersey knew something was wrong when medical services he needed were being cut back because he had supposedly reached the spending limit. West has muscular dystrophy, is confined to a wheelchair and needs oxygen &#8212; but he&#8217;s nobody&#8217;s fool and knew the numbers didn&#8217;t add up.</p>
<p>A little digging into his records showed that Maxim Healthcare had overbilled for hundreds of hours of care he never received, from nurses he&#8217;d never met.</p>
<p>West contacted numerous federal agencies who all declined to help him. So he hired his own lawyer and went to court.</p>
<p>When all was said and done, <a href="http://www.nj.com/news/index.ssf/2011/09/tuckerton_mans_resolve_helps_u.html" target="_blank">Maxim had agreed to pay the highest financial settlement in history for home healthcare fraud</a>: $121.5 million in reimbursements and penalties, $8.4 million to the Veterans Administration and a fine of $20 million. Under the whistle-blower laws, West gets to keep a cool $15 million of that. He said he plans to use the funds to buy a new van, make some improvements to his home and donate to charities for the disabled. He will however, lose his Medicaid eligibility as his lawyer noted.</p>
<p>What motivated him to keep up the fight? West told a reporter for the New York Post: &#8220;The more I uncovered, the more pissed off I got that someone was making money on my disability&#8230; From my wheelchair, on a ventilator and oxygen, I have spent the last seven years in this fight. Sometimes the good guy wins.&#8221;</p>
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		<title>Congress to investigate drug price gouging claims</title>
		<link>http://healthexecnews.com/congress-investigate-drug-price-gouging</link>
		<comments>http://healthexecnews.com/congress-investigate-drug-price-gouging#comments</comments>
		<pubDate>Fri, 07 Oct 2011 10:00:41 +0000</pubDate>
		<dc:creator>Carol Katarsky</dc:creator>
				<category><![CDATA[Communication]]></category>
		<category><![CDATA[Ethics]]></category>
		<category><![CDATA[Fraud & Waste]]></category>
		<category><![CDATA[Health care/Treatment trends]]></category>
		<category><![CDATA[Healthcare Legal & Compliance]]></category>
		<category><![CDATA[In this week's e-newsletter]]></category>
		<category><![CDATA[Latest News & Views]]></category>
		<category><![CDATA[Congress]]></category>
		<category><![CDATA[drug shortage]]></category>
		<category><![CDATA[legal]]></category>
		<category><![CDATA[Maryland]]></category>
		<category><![CDATA[patient safety]]></category>
		<category><![CDATA[Rep. Elijah E. Cummings]]></category>

		<guid isPermaLink="false">http://healthexecnews.com/?p=4607</guid>
		<description><![CDATA[Rep. Elijah E. Cummings of Maryland has started the ball rolling for a Congressional investigation into allegations of companies price-gouging hospitals in the wake of nationwide shortages of key drugs.  Cummings asked five of the so-called &#8220;gray market&#8221; companies to provide information on their sales of drugs that are in short supply nationwide. Cummings is interested [...]]]></description>
			<content:encoded><![CDATA[<p>Rep. Elijah E. Cummings of Maryland has started the ball rolling for a Congressional investigation into allegations of companies price-gouging hospitals in the wake of nationwide shortages of key drugs. <span id="more-4607"></span></p>
<p>Cummings asked five of the so-called &#8220;gray market&#8221; companies <a href="http://www.cnn.com/2011/10/05/health/drug-prices/index.html" target="_blank">t</a><a href="http://www.cnn.com/2011/10/05/health/drug-prices/index.html" target="_blank">o provide information on their sales of drugs that are in short supply</a> nationwide. Cummings is interested in reports that <a href="http://healthexecnews.com/drug-shortages-lead-to-pill-scalping" target="_blank">some companies are selling the drugs at dramatic markups</a> of hundreds of times their normal prices &#8212; in at least once case, a drug that normally sells for around $26/dose was priced at $1,200/dose. Cummings is a ranking member of the House Committee on Oversight and Government Reform.</p>
<p>So far, one of the five companies is cooperating with the information request.</p>
<p>Aside from being unfair and potentially illegal, <a href="http://healthexecnews.com/drug-shortages-blamed-in-death-of-at-least-15-patients" target="_blank">the shortages and the questionable supplies that some hospitals are forced to use have raised questions of patient safety</a>.</p>
<p>Cummings&#8217; office has set up a tip line for information on price gouging.</p>
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		<title>Podiatrist nabbed for fraud after billing double amputee</title>
		<link>http://healthexecnews.com/podiatrist-nabbed-for-fraud-after-billing-double-amputee</link>
		<comments>http://healthexecnews.com/podiatrist-nabbed-for-fraud-after-billing-double-amputee#comments</comments>
		<pubDate>Thu, 29 Sep 2011 10:00:23 +0000</pubDate>
		<dc:creator>Carol Katarsky</dc:creator>
				<category><![CDATA[Ethics]]></category>
		<category><![CDATA[Fraud & Waste]]></category>
		<category><![CDATA[Healthcare Legal & Compliance]]></category>
		<category><![CDATA[In this week's e-newsletter]]></category>
		<category><![CDATA[Latest News & Views]]></category>
		<category><![CDATA[Gambrills]]></category>
		<category><![CDATA[identity theft]]></category>
		<category><![CDATA[Larry Bernhard]]></category>
		<category><![CDATA[legal]]></category>
		<category><![CDATA[Maryland]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[podiatrist]]></category>

		<guid isPermaLink="false">http://healthexecnews.com/?p=4549</guid>
		<description><![CDATA[A Maryland podiatrist has pleaded guilty to fraud and identity theft after billing over $1M in false Medicare charges for providing services to a patient with no feet &#8212; and after he had already been banned from federal health programs.  Larry Bernhard, a podiatrist in Gambrills, Maryland, pleaded guilty to health care fraud and identity theft, [...]]]></description>
			<content:encoded><![CDATA[<p>A Maryland podiatrist has pleaded guilty to fraud and identity theft after billing over $1M in false Medicare charges for providing services to a patient with no feet &#8212; and after he had already been banned from federal health programs. <span id="more-4549"></span></p>
<p>Larry Bernhard, a podiatrist in Gambrills, Maryland, pleaded guilty to health care fraud and identity theft, according to <a href="http://www.justice.gov/usao/md/Public-Affairs/press_releases/press08/GambrillsPodiatristPleadsGuiltytoFraudulentlyBillingMedicareover1.1Million.html" target="_blank">a joint statement by federal law enforcement agencies</a>.</p>
<p>Bernhard billed Medicare for services he never provided. Between April 2002 and October 2004, he submitted approximately 80 claims for service that supposedly took place at skilled nursing facilities &#8212; even though the patients were in hospitals at the time.</p>
<p>At his most daring, Bernhard even charged for podiatric services he supposedly provided to a patient who already had both legs amputated.</p>
<p>At the time the claims were submitted, Bernhard had already been banned from Medicare and other federal programs because of earlier billing infractions.</p>
<p>Bernhard also admitted using patients&#8217; personally identifiable information to submit the fraudulent invoices.</p>
<p>He faces up to 10 years in prison for health  care fraud and a mandatory two years in prison for aggravated identity theft to be served consecutively.  Bernhard has also agreed to pay  restitution of more than $1.1 million.</p>
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		<title>Drug shortages blamed in deaths of at least 15 patients</title>
		<link>http://healthexecnews.com/drug-shortages-blamed-in-death-of-at-least-15-patients</link>
		<comments>http://healthexecnews.com/drug-shortages-blamed-in-death-of-at-least-15-patients#comments</comments>
		<pubDate>Wed, 28 Sep 2011 10:00:54 +0000</pubDate>
		<dc:creator>Carol Katarsky</dc:creator>
				<category><![CDATA[Communication]]></category>
		<category><![CDATA[Ethics]]></category>
		<category><![CDATA[Fraud & Waste]]></category>
		<category><![CDATA[Health care/Treatment trends]]></category>
		<category><![CDATA[Healthcare Finance]]></category>
		<category><![CDATA[Hospital Management]]></category>
		<category><![CDATA[In this week's e-newsletter]]></category>
		<category><![CDATA[Latest News & Views]]></category>
		<category><![CDATA[Practice Management]]></category>
		<category><![CDATA[Associated Press]]></category>
		<category><![CDATA[chemotherapy]]></category>
		<category><![CDATA[drug shortage]]></category>
		<category><![CDATA[medication]]></category>
		<category><![CDATA[patient care]]></category>
		<category><![CDATA[patient death]]></category>
		<category><![CDATA[prescription]]></category>

		<guid isPermaLink="false">http://healthexecnews.com/?p=4539</guid>
		<description><![CDATA[Nationwide shortages of key drugs have led to price gouging. And now some experts say the crisis has led directly to over a dozen patient deaths.  The cause of the shortage is a trend toward smaller production runs of less profitable generic injectable drugs as well as manufacturing problems such as contamination that have removed [...]]]></description>
			<content:encoded><![CDATA[<p>Nationwide shortages of key drugs have led to price gouging. And now some experts say the crisis has led directly to over a dozen patient deaths.  <span id="more-4539"></span></p>
<p>The cause of the shortage is a trend toward smaller production runs of less profitable generic injectable drugs as well as manufacturing problems such as contamination that have removed large lots of some drugs from the market.</p>
<p>Vital drugs used in chemotherapy, critical care and treatment of several life-threatening illnesses have been in short supply. The shortages have inspired some middle-market suppliers to essentially <a href="http://healthexecnews.com/drug-shortages-lead-to-pill-scalping" target="_blank">scalp the meds, by buying back-stock where they can and offering it to hospitals at jacked up prices</a>.</p>
<p>It&#8217;s a steep price difference, too: <a href="http://www.google.com/hostednews/ap/article/ALeqM5iwfVRT78a3j8zZDiAffo3KdNs1MA?docId=9f602264104b446b8a36ce16b02e8f39" target="_blank">The Associated Press found that one medication for high blood pressure was being sold for $1,200 a dose</a> instead of the usual $25.90 per dose.</p>
<p>Some hospitals are forced to postpone purchases to either save money or because the supplies simply aren&#8217;t available to them at any price. But when those drugs aren&#8217;t available, patients have to delay surgeries or other treatments &#8212; which leads to extra pain as well as avoidable complications, and in some cases, even death. Patients who receive the drugs bought from the so-called gray market suppliers aren&#8217;t necessarily safer. Sometimes hospitals end up unwittingly buying medications that have been stolen and may or may not have been handled and stored properly.</p>
<p>Besides the cost to patients&#8217; health, hospitals are absorbing huge losses on these drugs &#8212; an estimated $415 million per year &#8212; which they won&#8217;t be able to do for much longer.</p>
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		<title>Drug shortages lead to pill scalping</title>
		<link>http://healthexecnews.com/drug-shortages-lead-to-pill-scalping</link>
		<comments>http://healthexecnews.com/drug-shortages-lead-to-pill-scalping#comments</comments>
		<pubDate>Thu, 22 Sep 2011 10:00:53 +0000</pubDate>
		<dc:creator>Carol Katarsky</dc:creator>
				<category><![CDATA[Ethics]]></category>
		<category><![CDATA[Fraud & Waste]]></category>
		<category><![CDATA[Healthcare Finance]]></category>
		<category><![CDATA[Healthcare Legal & Compliance]]></category>
		<category><![CDATA[Hospital Management]]></category>
		<category><![CDATA[In this week's e-newsletter]]></category>
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		<category><![CDATA[Practice Management]]></category>
		<category><![CDATA[drug shortage]]></category>
		<category><![CDATA[medication]]></category>
		<category><![CDATA[prescriptions]]></category>
		<category><![CDATA[scalping]]></category>
		<category><![CDATA[suppliers]]></category>

		<guid isPermaLink="false">http://healthexecnews.com/?p=4057</guid>
		<description><![CDATA[Shortages of some key medications are leading some to make a living scalping prescription drugs the way some folks make cash off concert tickets. Savvy &#8212; and some would say ethically challenged &#8212; buyers are stocking up on important, but hard-to-find drugs and selling them to hospitals at prices as high as 50 times the [...]]]></description>
			<content:encoded><![CDATA[<p>Shortages of some key medications are leading some to make a living scalping prescription drugs the way some folks make cash off concert tickets. <span id="more-4057"></span>Savvy &#8212; and some would say ethically challenged &#8212; <a href="http://yourlife.usatoday.com/health/healthcare/story/2011/08/Drug-shortages-lead-to-price-gouging/50028148/1" target="_blank">buyers are stocking up on important, but hard-to-find drugs and selling them to hospitals at prices as high as 50 times the usual cost</a>.</p>
<p>The practice isn&#8217;t illegal, but it&#8217;s unpopular for obvious reasons &#8212; and potentially dangerous since with so-called &#8220;gray market&#8221; drugs it can be harder for hospitals to avoid counterfeit medications, those that haven&#8217;t been handled or stored properly or that have been stolen and resold.</p>
<p>Scalpers get the drugs in a variety of ways including buying backstock from doctor&#8217;s offices.</p>
<p>Many hospitals won&#8217;t do business with the scalpers &#8212; but then end up paying steep mark-ups anyway from more legitimate suppliers.</p>
<p>Some of the gray market medications with the highest mark-ups include key drugs for the treatment of cardiac and oncology patients, critical care uses and some surgical uses.</p>
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		<item>
		<title>Hospital hit with $3.8M fine for fraud</title>
		<link>http://healthexecnews.com/hospital-hit-with-3-8m-fine-for-fraud</link>
		<comments>http://healthexecnews.com/hospital-hit-with-3-8m-fine-for-fraud#comments</comments>
		<pubDate>Tue, 13 Sep 2011 10:00:09 +0000</pubDate>
		<dc:creator>Carol Katarsky</dc:creator>
				<category><![CDATA[Ethics]]></category>
		<category><![CDATA[Fraud & Waste]]></category>
		<category><![CDATA[Healthcare Finance]]></category>
		<category><![CDATA[Healthcare Legal & Compliance]]></category>
		<category><![CDATA[Hospital Management]]></category>
		<category><![CDATA[In this week's e-newsletter]]></category>
		<category><![CDATA[Latest News & Views]]></category>
		<category><![CDATA[Medicare & Medicaid News]]></category>
		<category><![CDATA[East Ohio Regional Hospital]]></category>
		<category><![CDATA[legal]]></category>
		<category><![CDATA[Medicaid]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[Ohio Valley Health Services and Education Corp]]></category>
		<category><![CDATA[Ohio Valley Medical Center]]></category>
		<category><![CDATA[Stark Law]]></category>

		<guid isPermaLink="false">http://healthexecnews.com/?p=4446</guid>
		<description><![CDATA[Ohio Valley Health Services and Education Corp. has agreed to pay $3.8 million in fines to settle allegations of Medicare and Medicaid fraud. The company, which owns Ohio Valley Medical Center and East Ohio Regional Hospital, didn&#8217;t admit to any liability. Federal prosecutors allege the hospitals violated the Stark Law between 2005 to 2010 by [...]]]></description>
			<content:encoded><![CDATA[<p>Ohio Valley Health Services and Education Corp. has agreed to pay $3.8 million in fines to settle allegations of Medicare and Medicaid fraud. <span id="more-4446"></span>The company, which owns Ohio Valley Medical Center and East Ohio Regional Hospital, didn&#8217;t admit to any liability.</p>
<p><a href="http://www.theintelligencer.net/page/content.detail/id/559306/-3-8M--Fine-For-Hospital-Group.html?nav=515" target="_blank">Federal prosecutors allege the hospitals violated the Stark Law between 2005 to 2010 by using  improper compensation agreements</a> with local doctors.  In addition to the fines, the three companies will also have to cooperate with an ongoing investigation into individuals who may have violated the law.</p>
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