3 charged in $1 billion scheme to defraud Medicare in Florida, DOJ dubs biggest ever

http://www.healthcarefinancenews.com/news/3-charged-1-billion-scheme-defraud-medicare-florida-doj-dubs-biggest-ever

The owner of more than 30 Miami-area skilled nursing and assisted living facilities, a hospital administrator and a physician’s assistant were charged with conspiracy, obstruction, money laundering and healthcare fraud in connection with a $1 billion scheme involving numerous Miami-based providers, the United States Department of Justice announced.

Assistant Attorney General Leslie Caldwell of the Justice Department’s Criminal Division said in a statement that the charges represent the largest single criminal healthcare fraud case ever brought against individuals by the DOJ.

Philip Esformes, 47, Odette Barcha, 49, and Arnaldo Carmouze, 56, all of Miami-Dade County, Florida, were charged in an indictment claiming that Esformes operated a network of more than 30 skilled nursing homes and assisted living facilities known as The Esformes Network, which gave him access to thousands of Medicare and Medicaid beneficiaries.

MY LEADER SCREWED UP

https://leadershipfreak.wordpress.com/2016/07/23/solution-saturday-my-leader-screwed-up/

stress makes you forget who you are

Dear Dan,

Our leader made a really bad decision. Now he isn’t making it right because he’s afraid of losing face.

I’m planning to tell the boss he made a bad decision that is turning into a fiasco. If he would have consulted with the people impacted by his decision, he wouldn’t be in this situation.

How can I tell the boss he made a bad decision?

Thank you for any advice,

Concerned in the Middle

Before Trusting Someone You Must Confront These 4 Uncomfortable Truths

Before Trusting Someone You Must Confront These 4 Uncomfortable Truths

uncomfortable2

No one disagrees that trust is an indispensable ingredient of strong, healthy relationships. In the workplace, high levels of trust increase productivity, efficiency, innovation, and profitability. When trust is low or absent, people avoid risk, decisions are questioned, bureaucracy increases, and productivity and profitability diminish.

However, there are some uncomfortable truths about trust we must confront. These difficult areas often hold us back from fully trusting others and enjoying the personal and corporate benefits of high-trust relationships. We often shy away from acknowledging or addressing these truths because they are exactly that – uncomfortable. But confront them we must if we are to grow in our capacity to trust others and be trustworthy ourselves.

The Facts on Medicare Spending and Financing

http://kff.org/medicare/issue-brief/the-facts-on-medicare-spending-and-financing/

Figure 1: Medicare as a Share of the Federal Budget, 2015

Overview of Medicare Spending

Medicare, the federal health insurance program for 57 million people ages 65 and over and people with permanent disabilities, helps to pay for hospital and physician visits, prescription drugs, and other acute and post-acute care services. In 2015, spending on Medicare accounted for 15% of the federal budget (Figure 1). Medicare plays a major role in the health care system, accounting for 20% of total national health spending in 2014, 29% of spending on retail sales of prescription drugs, 26% of spending on hospital care, and 23% of spending on physician services.1 This issue brief includes the most recent historical and projected Medicare spending data from the Centers for Medicare & Medicaid Services (CMS) Office of the Actuary (OACT), the 2016 annual report of the Boards of Medicare Trustees2 and the 2016 Medicare baseline and projections from the Congressional Budget Office (CBO).3

What does analytics mean to Intuitive Surgical?

What does analytics mean to Intuitive Surgical?

analytics

I think analytics has multiple components in it. As you may know, the majority of our systems are real-time connected to the Internet today. I think over 90% of systems are online. They report back information to us mostly around the system performance itself, what it is itself is doing, rather than, say, patient information. That data can be turned into insights for the company and for our customers and we have been doing that for some time now. So there’s that type of analytics.

Going forward, I think that as our computational structures get more powerful, we can bring some of that intelligence more real-time. So rather than offline insights, you can start generating real-time insights. That’s a multi-year pathway. I think it’s interesting and challenging. I think there’s long-term potential in it. But we’re moving down that pathway, making sure that we have good access and fast access and low latency access to our devices in the field, and then bringing to bear information that can help surgeons as they’re performing the procedure. And you’ll see from us in future years a series of products that come out using that set of kind of digital pipeline.

Startup device maker takes aim at hospital pressure ulcers

Startup device maker takes aim at hospital pressure ulcers

Device Held Up - 3.2 + _Reading_

Medtronic follows Dexcom to go the smartphone route with CGM

Medtronic follows Dexcom to go the smartphone route with CGM

The smartphone-enabled Guardian Connect CGM from Medtronic