Preview

HMA Ethics

Good Essays
Open Document
Open Document
1141 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
HMA Ethics
Vash Lee
Professor -----
-------
11 February 2014 Health Management Associates Health Management Associates is a Naples-based for-profit hospital chain that owns 71 hospitals, 23 of which are in Florida (newspress). There have been many whistleblowers within the company that have brought allegations against HMA for focusing on the profits of the company over the proper medical attention of patients. In August 2013, the major shareholder of HMA, Glenview Capital Management LLC, with about 9.6% of stocks lead to the complete removal of the board of directors. There is currently a merger occurring in which HMA will go under another for-profit hospital chain company called Community Health Systems which will form the second largest for-profit hospital chain by revenue (nytimes). Glenview also pushed for this (fierce). The Department of Justice is backing many of those who have reported claims through qui tam cases. The CEO, Gary D. Newsome, left the company a few months ago to lead a mission trip, but is currently part of the cases as well. Several of the lawsuits point to Newsome as the inventor of the strategy used to raise admissions to emergency rooms (nytimes). The idea here is that the company gives incentives to the doctors to admit more patients to the emergency room to meet a quota. There are reports of the company using a software called Pro Med to keep scorecards for the doctors. The goal is to admit at least half of the patients over 65 that visit, the scorecards have the doctors highlighted in different colors: green for on target, yellow for those who were close, and red for doctors that were failing. Jacqueline Myers, a worker for the company that hires the doctors used by HMA, reported that she received the order to fire the doctors and red, but said no followed by being fired (nytimes). A CFO in a Georgia branch of HMA did a separate investigation of the admission rates and found them to be higher compared to other hospitals.

You May Also Find These Documents Helpful

  • Satisfactory Essays

    MHC Case Study. Read the “Strategic Planning at Multistate Health Corporation” case on pages 51-57 and answer the case questions on pages 56-57…

    • 1784 Words
    • 7 Pages
    Satisfactory Essays
  • Better Essays

    The health care organization I am affiliated with, Staten Island University hospital, is part of the North Shore –LIJ Health System. “The North Shore-LIJ Health System strives to improve the health of the communities it serves and is committed to providing the highest quality clinical care; educating the current and future generations of health care professionals; searching for new advances in medicine through the conduct of bio-medical research; promoting health education; and caring for the entire community regardless of the ability to pay” (North Shore LIJ health care, 2014). In 2007, as part of their commitment to quality clinical care, North Shore LIJ began implementing health information technology and electronic medical records in the hospital system. “ The North Shore-LIJ Health System announced today it is subsidizing up to 85 percent of the cost of implementing and operating an Electronic Health Records (EHR) system in the offices of its more than 7,000 affiliated physicians in New York City and Long Island -- part of a…

    • 2663 Words
    • 11 Pages
    Better Essays
  • Satisfactory Essays

    MHC Case Study. Read the “Strategic Planning at Multistate Health Corporation” case on pages 51-57 and answer the case questions on pages 56-57…

    • 689 Words
    • 3 Pages
    Satisfactory Essays
  • Powerful Essays

    Healthcare is in a constant state of change with movements that impact rates, access and quality of care. Hospitals have become more competitive due to the rising cost of care delivery and the reduction in reimbursement from payers. This causes difficulty in delivering quality care to all patients, which is being measured by mandated patient perception surveys, Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). HCAHPS scores are part of value based purchasing, which was established as part of the Affordable Care Act. This pay-for-performance metric of patient satisfaction impacts payment, yet if hospitals can’t afford to hire enough staff to assure patients feel satisfied, it is a vicious cycle, so they must be resourceful and innovative. Physicians are feeling the pressure to compete as well and often feel that their treatment decisions are based on insurance companies and Medicare/Medicaid decisions. The demands on physicians has caused fewer people to pursue the medical field as a career.…

    • 1827 Words
    • 6 Pages
    Powerful Essays
  • Powerful Essays

    The Hospital Management Associates (HMA) acquired Riverview Medical Center (RRMC, a 281 bed for acute care in 2004. HMA reconstructed the facility turning it into a leading-edge, high quality of care health care organization. The facility is one of the primary employers in the area and provides job opportunities to approximately “700 individuals in the local area” (Richards & Slovensky, 2004). RRMC has encountered significant challenges against their competitors: Mountain View, Gadsden Regional and HealthSouth. One major challenge…

    • 2402 Words
    • 10 Pages
    Powerful Essays
  • Powerful Essays

    HIPAA allows patients’ health information to be disclosed under some circumstances, such as 1) to meet law requirements; 2) for reporting of abuse, neglect, and domestic violence; 3) for monitoring of healthcare operations; 4) to be presented as evidence in legal proceedings; 5) for assistance with police investigation; 6) for medical examinations and funerals; 7) for organ donation; 8) for research; 9) to avoid a significant threat to health or safety; 10) for workers’ compensation payments; 11) to execute government…

    • 81 Words
    • 1 Page
    Powerful Essays
  • Powerful Essays

    As a Chief Nursing Officer, I’m responsible for one of the state’s largest Obstetric Health Care Centers. I just received word of some fraudulent behaviors in the center. To mitigate this type of behaviors I must evaluate how the healthcare Qui Tam affects health care organizations, provide four examples of Qui Tam cases that exist in a variety of health care organizations, Devise a procedure for admission into a health care facility that upholds the law about the required number of Medicare and Medicaid referrals, Recommend a corporate integrity program that will mitigate incidents of fraud and assess how the recommendation will impact issues of reproduction and birth, and Devise a plan to protect patient information that complies with all necessary laws. After completing my evaluation on Qui Tam I will be able to provide a proper protocol to handle or prevent future issue and grow awareness on how fraudulent behavior affects the health care center.…

    • 2959 Words
    • 11 Pages
    Powerful Essays
  • Powerful Essays

    Healthcare Case Study

    • 2840 Words
    • 12 Pages

    Among the internal factors LMF currently faced was the recruiting of new physicians. Before Dr. Townsend was appointed as the new CEO of the organization, a few changes in policy caused a decline in the comfortability of the LMG physicians. These changes shifted the way in which health care was delivered to a team based system that heavily relied on NP’s, PT’s, health educators and support staff which meant less Physician-Patient interaction. This new policy also brought about a change in the way physicians were being compensated. With the new policy in place, physicians were given two options; they were required to either increase their workweek by half a day with no pay increase or they could have accepted a decrease in their current salary. These policy changes obviously created a negative impact on the physicians of the organization, which demonstrated that the executive staff was “isolated” from the realities of the daily medical practices. Another internal issue affecting the organization was…

    • 2840 Words
    • 12 Pages
    Powerful Essays
  • Satisfactory Essays

    There are many cultural considerations that a medical assistant needs to be aware of when addressing issues related to the female reproductive system. Some of these considerations are: believes and practices of religion, values, and even the attitudes of the people with different cultures. The most important thing that a medical assistant should avoid is offending the patient and make it seem as if they are judging them. Everyone has different beliefs and that is perfectly fine. Medical assistant just need to remember that no patient is the same, for example: some cultures forbid communication about reproductive issues with a particular gender. As an MA, it is their job to make sure the patient is cared for and to just give them the support…

    • 148 Words
    • 1 Page
    Satisfactory Essays
  • Powerful Essays

    Est1 Task 2

    • 600 Words
    • 3 Pages

    The bottom line is that HCAHPS allow for hospitals to be, essentially, graded on their performance by their main customer, the patient. The resultant score will determine the amount of incentive payments received by or penalties assessed to a hospital by Medicare and Medicaid. This pay for performance program is called Value Based Purchasing (VBP) which was created by the Affordable Care Act (ACA) to “encourage desirable changes” (Dempsey et al., 2014, p. 142) in hospital facilities. According to Dempsey et al (2014), “patients’ perception of care will play a significant role in determining VBP scores and incentive payments” (p.…

    • 600 Words
    • 3 Pages
    Powerful Essays
  • Satisfactory Essays

    Medical Billing Ethics

    • 129 Words
    • 1 Page

    Our billing company, has a mission to obtain accurate, timely and complete payment from all third party payers and patients for our clients using state of the art technology, proven billing and effective control systems and highly trained staff while adhering to the highest moral, ethical, legal and practical business standards of our industry.…

    • 129 Words
    • 1 Page
    Satisfactory Essays
  • Powerful Essays

    Mainly, as a result of managed care in the 1990's, the healthcare system is perceived to be on the decline, i.e. increased cost, poor quality care, increased number of uninsured, mistrust of the providers and insurers, unethical behavior by both insurers and providers, etc (Fottler & Malvey, 2004). On the macro level, insurers shaped these perceptions by high insurance premiums and those that are out of reach for many Americans (who remain uninsured). Unethical behavior by insurers hasn't helped the matter either. Healthcare executives should develop better leadership and public relations savvy. Many institutions have incurred a world of trouble when they were perceived as violating fundamental values. The introduction of managed care resulted in the eroding of public trust and perceptions of a steady decline (due to medical errors, increased workload, eroding physician-patient relationship, less people insured, etc.) in the healthcare system (Teixeira, 2005). Low levels of trust amongst providers and insurers also lead to mistrust, low level care, etc. The level of trust in the industry has dipped to a critical level. Nurses distrust doctors. Doctors hate insurers andmanaged…

    • 1492 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    Managed Care Ethics

    • 736 Words
    • 3 Pages

    As your fourth assignment toward completion of the Session Long Project you are asked to review the paper by A. Mains, A. Coustasse, K. Lykens: Physician Incentives: Managed Care and Ethics and answer the questions below.…

    • 736 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Medical Assistant Ethics

    • 378 Words
    • 2 Pages

    There are numerous ethical issues that a medical assistant may encounter in a daily office or hospital setting. It is unethical to have a conversation with a fellow coworker regarding a patient. The patient may overhear or worse may be relate to someone in the office. It is no one’s business as to why the patient had an appointment. Another unethical behavior that is unacceptable is foul language in front of the patient. They do not need to hear that kind a language under any circumstances. When a patient comes in to see you and smells of urine or alcohol, be courteous to the patient and do not judge the patient. This patient may not have the means to shower daily or they may be sick or unaware of the odor. A good thing to remember when dealing with and ethical issue is always does the right thing at the right time and it will never become an issue. Medical assistant need to put themselves into their patient’s shoes, they need to ask themselves how I would want to be treated. Or how would I like to be recognizing in the eyes of the health care worker? How I want my family treated?…

    • 378 Words
    • 2 Pages
    Satisfactory Essays
  • Better Essays

    “Managed care embodies an effort by employers, the insurance industry, and some elements of the medical profession to establish priorities and decide who gets what from the health care system.” (JAMA.2001; pg. 285:2622-2628). Manage Care is part of the Health Care system since 1973 is known as the system that finances and delivers health care to individuals enrolled under their plans. Manage care is intended to reduce the unnecessary health care cost in America through a variety of mechanism that includes medical necessity review programs, economic incentives for physicians, beneficiary cost sharing, control of patients lengths of stay just to name a few. The regulations and stipulations for cost control have made it very difficult for some individuals to get the care they need. Manage is established as a for profit establishment that has a bigger interest in saving cost and making profits than providing quality healthcare.…

    • 1151 Words
    • 5 Pages
    Better Essays