Post by arfanho7 on Feb 28, 2024 4:48:19 GMT -5
The assumption is there may be political pressure on which firms to investigate says Heese who surmises that politicians pressure regulators to go easier on firms that help them achieve their political ends such as higher employment. Typically in research on regulatory capture special interests put pressure on politicians for example firms pay money in my story it comes because a politician wants to be reelected and therefore caters to voters interests.
It s not just the SEC that plays favorites in this way Heese found. by Medicare of hospital fraud. It s an all too common practice for hospitals to claim patient ailments more serious than they actually were and overcharge Medicare by upcoding them to a more serious diagnosis that would be reimbursed at a higher Indonesia Mobile Number List rate. The problem is a huge drain on taxpayers costing an estimated billion in a full percent of Medicare s payments. At the same time hospitals especially nonprofit ones are creating tangible benefits to society by providing charity care to uninsured patients. It s a Robin Hood story Heese says.
These hospitals overbill the insured patients to generate money to pay for the uninsured. Heese s research was done before the enactment of the Affordable Care Act in however despite the universal insurance promised by the law some million Americans— percent of the population—remain uninsured. Heese wondered if regulators might be less likely to investigate hospitals for upcoding if they were putting more resources into helping the uninsured.
It s not just the SEC that plays favorites in this way Heese found. by Medicare of hospital fraud. It s an all too common practice for hospitals to claim patient ailments more serious than they actually were and overcharge Medicare by upcoding them to a more serious diagnosis that would be reimbursed at a higher Indonesia Mobile Number List rate. The problem is a huge drain on taxpayers costing an estimated billion in a full percent of Medicare s payments. At the same time hospitals especially nonprofit ones are creating tangible benefits to society by providing charity care to uninsured patients. It s a Robin Hood story Heese says.
These hospitals overbill the insured patients to generate money to pay for the uninsured. Heese s research was done before the enactment of the Affordable Care Act in however despite the universal insurance promised by the law some million Americans— percent of the population—remain uninsured. Heese wondered if regulators might be less likely to investigate hospitals for upcoding if they were putting more resources into helping the uninsured.