Three Managed care companies Kaiser, Heritage and Medicare allege that an hospitals chain named Prime Health Care Services capture their enrolees in its emergency rooms and up-code their pathologies to admit them for a stay. At least that is what is reported by California Watch in its July 23 edition.
Prime’s billing practices are under investigation by The U.S. Department of Health and Human Services Office according to California Watch journalist.
Prime Health Care declares that these accusations are based on a deeply flawed analysis of biased statistical data on rates of patients admission that can be explained otherwise than for financial reasons. Primary Health Care CEO declares that California watch article is defamatory and that there is no federal investigation. He supposes that the journal is manipulated by an Union named Service Employees International Union (SEIU).
I make my mind that an other very good title for this post should had been: “Struggle among health provider, health insurers and union activists under Californian sun”.
They would better go to the beach wouldn’t they?