OIG Files: The Elizabeth Holmes (Theranos) Verdict

For those of you who have been keeping up with the Elizabeth Holmes/Theranos trial, you likely have seen that there was a very mixed verdict. Holmes was convicted on some counts, acquitted on some and the jury was deadlocked on others. From a reader’s perspective, it...

OIG Files: Health Plans, Cherry Picking & Lemon Dropping

When I was first hired as an OIG Agent, I was told by numerous people that fraud in the Medicare Advantage (MA) world was difficult to commit, and ever more difficult to prove. To put it into context, it was the mid-1990s, and MA plans were not where they are...

Does Publishing Healthcare Prices Move the Needle?

Thank you Scott Rosenbaum, Wine & Spirit Business Advisor, who is one of our most well read and insightful/thought provoking collaborator shared this New York Times article with us: Hospitals and Insurers Didn’t Want You to See These Prices. Here’s why. Scott...