欺诈,获取和远程医疗的未来
Jacob T Elberg1, Eli Y Adashi2
1From the Associate Professor of Law and Director of the Center for Health & Pharmaceutical Law, Seton Hall University School of Law, Seton Hall University, Newark, NJ (JTE); Professor of Medical Science, Former Dean of Medicine and Biological Sciences, Brown University, Providence, RI (EYA). jacob.elberg@shu.edu.
Journal of the American Board of Family Medicine : JABFM
|September 29, 2023
概括
卫生与人类服务部发布了一份关于远程医疗公司的欺诈警报. 这篇评论审查了执法工作,以打击在COVID-19大流行期间不断增加的远程医疗欺诈行为.
科学领域:
- 医疗保健政策 医疗保健政策
- 防止欺诈 防止欺诈
- 远程医疗远程医疗
背景情况:
- 随着COVID-19大流行,远程医疗的使用激增.
- 随着使用的增加,远程医疗领域的欺诈活动也增加了.
- 政府机构正在加大努力,以应对这个日益严重的问题.
研究的目的:
- 分析最近由HHS-OIG发布的特殊欺诈警报.
- 将此警报置于司法部和HHS更广泛的执法行动中.
- 讨论远程医疗对未来的影响.
主要方法:
- 对HHS-OIG特别欺诈警报的审查 (2022年7月20日).
- 司法部 (DOJ) 和HHS执法趋势的分析.
- 关于监管与获得护理之间的平衡的评论.
主要成果:
- 美国HHS-OIG的警报意味着对远程医疗欺诈的打击升级.
- 涉及远程医疗公司的数十亿美元重大欺诈案件已成为目标.
- 疫情加剧了监管和执行远程医疗实践的挑战.
结论:
- 目前的情况代表了远程医疗的关键时刻.
- 在监管执法和患者获得护理之间的平衡是必不可少的.
- 持续警和战略决策是有效解决远程医疗欺诈的必要条件.
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