HCA Healthcare accused of Medicare fraud, excessive hospital admission rates

HCA Healthcare currently operates more than 1,800 health care facilities in 21 states and is continuing to expand, acquiring both smaller and larger health systems. Its focus is on expanding its roster of physicians as well as outpatient network.

HCA Healthcare maximized profits at the expense of patient care and obtained more than $1 billion in fraudulent payments from Medicare, the Service Employees International Union alleged this week. HCA denied the charges.

The accusations, which were released in a 45-page report, are based on the union’s analysis of Medicare data and lawsuits filed against HCA. The union found that HCA’s hospital admission rates exceeded the national average by more than 5% from 2014 to 2019.

“After rigorous exploration of this data, we have not found any reasons that we believe could justify this difference, leading to concerns that it is the result of HCA corporate efforts to increase admissions without medical need,” SEIU wrote in the report.

Source: HCA Healthcare accused of Medicare fraud, excessive hospital admission rates / Benefits Pro

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