Pay for performance, quality of care and the revitalization of the false claims act.
Devin S. Schindler
Abstract
Devin S. Schindler
Abstract
The federal government has dramatically expanded its oversight of the quality of care provided by healthcare entities. As such, the federal government is increasingly supplanting state control over quality of care issues. At the same time, amendments to the False Claims Act have greatly increased the risk to healthcare entities that fail to properly comply with government legal and regulatory requirements. The combination of these trends poses a substantial risk to healthcare entities that do not prepare for the coming marriage of “quality” and “risk.”
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The federal government has dramatically expanded its oversight of the quality of care provided by healthcare entities. As such, the federal government is increasingly supplanting state control over quality of care issues. At the same time, amendments to the False Claims Act have greatly increased the risk to healthcare entities that fail to properly comply with government legal and regulatory requirements. The combination of these trends poses a substantial risk to healthcare entities that do not prepare for the coming marriage of “quality” and “risk.”
Key concepts: Government (linguistics), Quality (philosophy), Health care, False Claims Act, Business, Control (management), State government, State (computer science)