What kinds of fraudulent or abusive behavior can occur


Problem

i. Name and describe the per se violations of antitrust law.

ii. Define the rule of reason and describe when it is used.

iii. How would you define the geographic and product markets of large healthcare organizations such as the Mayo Clinic, Cleveland Clinic, Kaiser Permanente, and Johns Hopkins? What are the barriers that keep new competitors from entering those markets?

iv. What kinds of fraudulent or abusive behavior related to federal healthcare payment programs can occur in hospital operations?

v. What are the most significant statutes related to healthcare fraud, and how have they been affected by the Affordable Care Act (2010)?

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