2009•PubMedOpen access

Pay for performance, quality of care and the revitalization of the false claims act.

Devin S. Schindler

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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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What this paper is about

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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Available 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.”

Key concepts: Government (linguistics), Quality (philosophy), Health care, False Claims Act, Business, Control (management), State government, State (computer science)

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Pay for performance, quality of care and the revitalization of the false claims act. — Research Paper | ScholarLens