A Case Study of Healthcare Fraud

Write your answers in the space provided for each of the questions below:

1. What is your initial response to the case study? (Please include one or two paragraphs in this section.)

2. Who was the main perpetrator of fraud? What types of fraud did they commit and what do you think the motivation was for their actions?

3. Looking beyond the main perpetrator, there were numerous other organizations and people involved in the fraud(s). List at least two others involved and describe their contribution to the crimes.

4. How could the health care fraud(s) in this case study have been stopped? Or at least minimized and not have gone on for years?

5. At the end of the case study in the Discussion section, the authors reference some potential cuts in payments to doctors. How do you think these cuts could affect the amount of financial fraud within the health care system? How could doctors react to the cuts in a manner that is not fraud?