Let’s kick things off with a scenario that might resemble a brainteaser—or at least something you’d doodle on a cocktail napkin if you were bored enough.
Cyrus is driving me bat-shit. I keep agreeing with him. Maybe I'm not reading thoroughly enough, but I'm finding little to dispute in his last two columns. I do feel he distorted the role of OHA a bit in his first column on dialysis in Tillamook.
I heartily recommend the book, "To Make a Killing....." by Mueller. It opens up a lot of dark corners about dialysis, and along the way, dark corners of our commercial for-profit medical system.
I forwarded to our new city councilors for District 1. Now that they are working on budgeting...at least I can hope....maybe this will offer them some inspiration. 😍
Like anything else there are many people in Oregon who receive OHP when they shouldn’t for many reasons including poor training and accountability of workers, dishonesty on the part of applicants, and believe it or not lawyers. There is no type of punishment for cheating the state out of thousands of dollars over and over. There was a time when Oregonians who fraudulently received OHP did suffer at least a small consequence however that ended when lawyers got involved in the process. OHP instructed workers they could no longer write any type of medical overpayment meaning anyone in Oregon can lie or misrepresent themselves to receive OHP and when or if they get caught nothing happens.
The provider assessment is one tool that encourages inflation and waste. It basically says "lend us a dollar and we'll get you $1.70 from Federal taxpayers." That is the current amount. And the result is a lackluster effort to reduce fraud and abuse, because those dollars get added into subsequent appropriations request. If Oregon wants to address fraud, please contact me jeff@castlestone-llc.com. Even the GAO says we can attack 1/4 of fraud, and that was before the avalanche of identity theft, which I warned about in 2017 and is worse today.
The provider assessment is one tool that encourages inflation and waste. It basically says "lend us a dollar and we'll get you $1.70 from Federal taxpayers." That is the current amount. And the result is a lackluster effort to reduce fraud and abuse, because those dollars get added into subsequent appropriations request. If Oregon wants to address fraud, please contact me jeff@castlestone-llc.com. Even the GAO says we can attack 1/4 of fraud, and that was before the avalanche of identity theft, which I warned about in 2017 and is worse today.
Cyrus is driving me bat-shit. I keep agreeing with him. Maybe I'm not reading thoroughly enough, but I'm finding little to dispute in his last two columns. I do feel he distorted the role of OHA a bit in his first column on dialysis in Tillamook.
I heartily recommend the book, "To Make a Killing....." by Mueller. It opens up a lot of dark corners about dialysis, and along the way, dark corners of our commercial for-profit medical system.
I forwarded to our new city councilors for District 1. Now that they are working on budgeting...at least I can hope....maybe this will offer them some inspiration. 😍
Why then, if it helps, rural hospitals and clinics has rural Oregon seen those barely hanging on and closing?
Like anything else there are many people in Oregon who receive OHP when they shouldn’t for many reasons including poor training and accountability of workers, dishonesty on the part of applicants, and believe it or not lawyers. There is no type of punishment for cheating the state out of thousands of dollars over and over. There was a time when Oregonians who fraudulently received OHP did suffer at least a small consequence however that ended when lawyers got involved in the process. OHP instructed workers they could no longer write any type of medical overpayment meaning anyone in Oregon can lie or misrepresent themselves to receive OHP and when or if they get caught nothing happens.
The provider assessment is one tool that encourages inflation and waste. It basically says "lend us a dollar and we'll get you $1.70 from Federal taxpayers." That is the current amount. And the result is a lackluster effort to reduce fraud and abuse, because those dollars get added into subsequent appropriations request. If Oregon wants to address fraud, please contact me jeff@castlestone-llc.com. Even the GAO says we can attack 1/4 of fraud, and that was before the avalanche of identity theft, which I warned about in 2017 and is worse today.
The provider assessment is one tool that encourages inflation and waste. It basically says "lend us a dollar and we'll get you $1.70 from Federal taxpayers." That is the current amount. And the result is a lackluster effort to reduce fraud and abuse, because those dollars get added into subsequent appropriations request. If Oregon wants to address fraud, please contact me jeff@castlestone-llc.com. Even the GAO says we can attack 1/4 of fraud, and that was before the avalanche of identity theft, which I warned about in 2017 and is worse today.