CNN - DaVita Medicare Fraud - page 3

by adnrnstudent

CNN - "Company accused of giant Medicare fraud." (DaVita)... Read More


  1. 1
    Quote from madwife2002
    This is not true dialysis clinic's get paid one amount if the patients gets meds or doesnt get meds
    You cannot bill for meds anymore since Jan 1st 2011 when bundling came in

    Bundling... yes, unfortunate.

    I know, let's launch corporate-owned pharmacies and divert the patients there.

    Oh, wait.
    RNtobeinSoCal likes this.
  2. 2
    And then let's send the meds to the dialysis clinics so they can play pharmacist....
    RNtobeinSoCal and Guttercat like this.
  3. 0
    This is absolutely true and not only at DaVita. If you report it, you get "removed". After "bundling", algorithms were adjusted to increase the use of less expensive medication, and decrease the use of more expensive medications. Acceptable hemaglobin values were also lowered to combat the cost.
    Last edit by do_gooder on Dec 12, '12 : Reason: addition.
  4. 1
    Quote from do_gooder
    This is absolutely true and not only at DaVita. If you report it, you get "removed". After "bundling", algorithms were adjusted to increase the use of less expensive medication, and decrease the use of more expensive medications. Acceptable hemaglobin values were also lowered to combat the cost.

    That may have been par for the course and coinkidink, but regardless we have to cut DaVita some slack here.

    A few recent studies have indicated higher mortality/morbidity from cardiac disease in (especially diabetic) patients whose HgB levels are "normalized" by throwing excess EPO at them, or at hypo-responders. Higher stroke risk as well. It's one reason (besides the sensitizing risk) that we see less transfusions too.

    As far as being (cough) "removed", I'd believe it.
    RNtobeinSoCal likes this.


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