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CHT Press Publication

Stop Paying the Crooks

Solutions to End the Fraud That Threatens Your Healthcare

Foreword by Newt Gingrich

Edited by James R. Frogue

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Table of Contents

Foreword	Newt Gingrich, Former Speaker of the House of Representatives and Founder of the Center for Health Transformation
Chapter 1	Healthcare Fraud, Waste and Abuse: A Smarter Way to Deter and Prevent George Lazenby, Chief Executive Officer, Emdeon
Chapter 2	Blue Plans Leading the Way: Innovative Solutions for Fighting Healthcare Fraud Scott P. Serota, President and Chief Executive Officer, Blue Cross and Blue Shield Association
Chapter 3	The Case for the Healthcare Payments Network: Cutting Fraud, Slashing Waste, Saving Billions Trey Jinks, Group Executive, TSYS, Inc.
Chapter 4	South Florida: Ground Zero for Healthcare Fraud Craig Smith, Partner, Hogan & Hartson
Chapter 5	A Closer Look at Public and Non-Profit Hospitals James R. Frogue, State Project Director, Center for Health Transformation
Chapter 6	Medicare Fraud: What Government Can Learn from the Private Sector Merrill Matthews, PhD, Executive Director, Council for Affordable Health Insurance; Meredith Matthews, PhD Candidate in Criminal Justice, University of Texas at Dallas
Chapter 7	Fraud and Beyond: Taking Program Integrity to the Next Level Tom McGraw, Senior Vice President of Government Solutions, Ingenix
Chapter 8	The “F” Word: $250 Billion of Easy Money J. Christian Kryder, MD, Chief Executive Officer, Verisk Health; Barry L. Johnson, DDS, CDC, FAGD, President, HealthCare Insight
Chapter 9	The Spectrum of Fraud: From an Ocean of Pennies to a Galley of Crooks Merrit Quarum, MD, Chairman of the Board, President and Chief Executive Officer, Qmedtrix Contributing Authors: Steven Ramey and R. William Von Sydow
Chapter 10	The Medicare to Medicaid Crossover: An Open Door to Waste & Fraud Mark Birdwhistell, Senior Advisor, Washington Strategic Consulting Contributing Authors: Robert Edwards, Director of Public Affairs, University of Kentucky Medical Center
Chapter 11	Creative Approaches to Combating Fraud in State Medicaid Programs Janet Rehnquist, Esquire, Founder, The Rehnquist Group; Jonathan Javitt, MD, MPH, Senior Fellow, Potomac Institute for Policy Studies
Chapter 12	Connected Care: The Solution to Medication Errors, Duplicate Testing and Preventable Hospitalization James R. Mault, MD, FACS, Director of New Products and Business Development for the Health Solutions Group, Microsoft
Chapter 13	Medicaid: Reforming a Fourth-Party Payer System James R. Frogue, Vice President and Director of State Policy, Center for Health Transformation; Elizabeth A. Noelcke, State Project Coordinator, Center for Health Transformation

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Supplemental Information

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Book Signing Photo Gallery

Table of Contents

Watch Frogue Interview Gingrich on Fraud

Healthcare Fraud

Harvard professor Malcolm Sparrow, author of License to Steal, has been a leading thinker in healthcare fraud since the early 1990s. On May 20, 2009, he testified to the U.S. Senate Judiciary Committee. Among his statements were these: “The units of measure for losses due to healthcare fraud and abuse in this country are hundreds of billions of dollars per year. We just don’t know the first digit. It might be as low as one hundred billion - more likely two or three - possibly four or five.” Sparrow also lamented, “One of my deep regrets is to discover that academia has paid almost no serious attention to this critical problem.”

It is in this climate of government spending and fraud that the Center for Health Transformation is proud to announce the upcoming publication of an in-depth book on healthcare fraud. Given that healthcare costs make up around one-seventh of America’s economy, it is imperative at this time to ensure that funding goes to appropriate people and organizations, not crooks seeking to rob taxpayers. We hope to begin a serious national discussion about fraud, the perverse incentives that allow such fraud to flourish, and key strategies to bring these schemes to an end.

Read examples of healthcare fraud >>

"Stop Paying the Crooks" Book Signing
September 17, 2009