References Galore About Patient Abuse and Fraud Associated with POPTS

August 6, 2013

NO ON AB 1000: Disastrous Fiscal Policy

A Sampling of Studies on Referral-for- Profit


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1.  President Obama’s 2014 Budget Recommends Banning Payment for POPTS

2.  Simpson-Bowles Federal Deficit Commission Recommends Closing In-office Ancillary Services Exception (IOAS) (see page 27)

3.  The Bipartisan Policy Center, chaired by Senators Tom Daschle and Bill Frist, MD Recommends Constraining Self-Referral to ‘Accountable’ Organizations in Concert with President Obama’s Vision (see page 66)

4.  US Senate Finance Committee Hammers Physician Self-Referral to Anatomic Pathology Services: In 2010, Increased “Self-Referrals” Led to More Than 900,000 Unnecessary Referrals Costing Medicare $69 Million

5.  US Senate Finance Committee Hammers Physician Self-Referral to Imaging Services: GAO Report Finds Physician Self-Referrals Cost Medicare More Than $100 Million Annually, Pose Risk to Beneficiaries

6.  Journal of American Medical Association Shows Greater Profits, Less Time Spent With Patients, Less PTs Hired in Favor of Unlicensed Personnel, and ‘Cherry Picking’ of Better Paying Insurances in POPTS.

7.  Office of the Inspector General Demonstrates 91% of Care in POPTS Falls Below Standard, Costing Medicare $136 Million in Fraudulent Care Within the State of Florida.

8.  New England Journal of Medicine Authors Show $233 Million Wasted in CA Workers’ Comp System for POPTS Referrals Based on Economic Rather Than Clinical Reasons.

9.  Med PAC Recommends Narrowing the In-Office Ancillary Services Exception Because of the Explosion in Costs Related to Self-Referral and the Fact That the Reason for the IOAS Was Proven Invalid

10. A New England Journal of Medicine Policy Paper Recommended Curbing Incentives for Self-Referral as an Important Step in Rational Health Care Reform

11.  Kaiser Recommended Limiting Self-Referral to Accountable Organizations Without Self-Referral Incentives

12.  Health Affairs Journal Cited Over-Referral to Urology Lab Services and Poorer Detection of Disease When Urologists Self-Refer to Their Own Lab

13. California Healthline’s Capitol Coverage Exposes Referral for Profit Fraud in Health Affairs Journal

14. Worsening Trends in the Management and Treatment of Back Pain


Media Stories Related to Referral for Profit PT Legislation in California

NBC Bay Area

Caution: State Laws Can Be Hazardous to Your Health

NBC Southern California

CA Medical Corporations Stealing P.T. Trade?

NBC4 Wins 2012 Regional Murrow Award for Stories on Doctor Owned PT Clinics

Physical Therapy Bill Blocks Regulation

Physical Therapy Group Audited by State

Physical Therapy Bill Defeated

Battle Over CA Physical Therapy Intensifies

Physical Therapy Bill Delayed

Physical Therapy Clinics Scrutinized


San Francisco Chronicle

Mary Hayashi’s Theft Focus of MORALS PAC

Merced Sun Star

Physical Therapists Criticize Bill in Assembly

California Healthline

Is Assembly Bill for Physical Therapists or Against Them?

Direct Hiring, Physical Therapist Issue Head CMA List

Will Assembly Bill Help or Hurt Physical Therapists?

Sacramento Bee

Mary Hayashi Runs Third in Alameda County Bid

Capitol Alert: Feud With Mary Hayashi Enters Alameda County Supervisor Race

Capitol AM Alert: Physical Therapists Hold Capitol Screening

San Jose Mercury News

Alameda County District 2 Supervisor Hopeful Mary Hayashi Target of Attack Mailer

Double Dipper Alert on Assembly Bill 783

Oakland Tribune

Mary Hayashi Target of Physical Therapists’ Attack Mailer

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