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국방부 및 FBI 조사국의 정신병원 체인의 문제가 드러난다
Psychiatric Hospital Chain Under Department of Defense & FBI Investigation
– 6/12/17
Read at: http://healthimpactnews.com/2017/psy...investigation/
https://www.youtube.com/watch?v=RHrNrAjKl6g
CCHR, 연간 500 억 달러의 이익을 본다고 정신건강 산업에서 환자학대 실태 및 사기 폭로
CCHR Continues to Expose Patient Abuse & Fraud in a $50 Billion Per Year For-Profit Mental Health Industry
미국 국방성 (DOD)과 연방 수사국 (FBI)은 유니버설 헬스 서비스 (UHS)가 소유한 가장 큰 정신과 병원 체인에 대한 여러 연방기관 조사에 참여했습니다. 기관은 "BuzzFeed News 최신 공개에 따르면,"적극적인 군대와 그 가족을 위한 보험 계획인 트리케어 Tricare에 UHS의 청구서를 면밀히 조사하고 있습니다. " 수상 경력이 있는 BuzzFeedNews의 저널리스트 아담스 Rosalind Adams는 UHS에 대한 독립적인 조사를 실시하여 수십개 주에서 운영되는 일부 UHS 시설에서 조사자가 "간호 문제의 양상을 제시하는 문제 보고서"또는 "환자에게 해를 끼친다"고 밝혔습니다.
The U.S. Department of Defense (DOD) and the Federal Bureau of Investigation (FBI) have joined the multi-Federal agency investigations into the largest psychiatric hospital chain owned by Universal Health Services (UHS). The agencies are “scrutinizing UHS’s billings to Tricare, the insurance plan for active military and their families,” according to the latest BuzzFeed News expose.[1] Rosalind Adams, an award-winning journalist with BuzzFeedNews, conducted an independent investigation into UHS saying that investigators have cited “troubling reports suggesting a pattern of quality of care issues” or “harm to patients” in some UHS facilities operating in a dozen states.[2]
2017 년 4 월, 상원 사법위원회의 의장인 그래슬리 Charles Grassley 상원의원은 UHS의 행동 시설에 대한 연방 조사를 요청하여 Tulsa, Oklahoma 시설인 Shadow Mountain Behavioral Health를 "매우 관련있는 행동 패턴으로, UHS의 환자를 제대로 돌볼 수있는가 하는 전망에 어두운 구름을 던져줍니다. "
2010 년에 48 세 정신건강 감시인인 시민권 위원회 (CCHR)는 직원과 UHS의 정신과 시설, 환자 및 그 가족의 전직 직원이 보고한 학대 실태를 문서화하기 시작했습니다. CCHR은 법 집행기관, 보건 당국, 주 FBI 기관, 연방 및 주 의원 및 Tricare 주정부에 4,000 건이 넘는 불만 사항을 제기했습니다. 이들은 또한 향정신성 약물의 최고 국가 및 주 처방자로 UHS 및 기타 영리를 목적으로하는 행동 건강관리 시설과 관련된 수많은 정신과 의사를 공개했다. 정신과 의사는 메디케어 파트 D (처방약)에 매년 수백만 달러의 벌금을 부과합니다.
In April 2017, Senator Charles Grassley, chairman of the Senate Judiciary Committee, also called for a federal probe into UHS’s behavioral facilities, describing one Tulsa, Oklahoma facility, Shadow Mountain Behavioral Health, as having “a pattern of conduct that is extremely concerning and casts a dark cloud over UHS’s ability to properly care for its patients.”[3]
In 2010, the Citizens Commission on Human Rights International (CCHR), a 48 year mental health watchdog, began documenting abuses that employees and former employees of UHS psychiatric facilities, patients and their families reported to it. CCHR has filed more than 4,000 complaints to law enforcement, health officials, state FBI agencies, Federal and State legislators, and to the state branches of Tricare. These also disclosed numerous psychiatrists affiliated with UHS and other for-profit behavioral health care facilities as top national and state prescribers of psychotropic drugs. The psychiatrists have billed millions of dollars each year to Medicare Part D (prescriptions).
군인 및 퇴역 군인에 대한 향정신성 약물 사용에 대한 우려로 CCHR의 불만은 UHS가 국군의 현역 군인에 대한 치료를 제공하는 애국자 지원 프로그램을 개발했다는 점에 주목했습니다. 재향 군인과 그 가족은 또한 UHS 행동 시설에서 치료를 받습니다. 새도우 마운틴 측은 Tricare와 VA 보험을 받아들입니다. [4] CCHR은 잠재적 인 사기성 Tricare 청구서에 대한 국방성 조사를 환영합니다.
Grassley 상원의원은 또한 의료시설 설문조사를 실시하는 인증 기관인 Joint Commission에 새도우 마운틴 (Shadow Mountain)에 "골드 씰 승인 (Gold Seal of Approval)"을 수여하는 방법을 설명하기를 요청했습니다.
이에 대해 공동위원회는 Shadow Mountain 사의 검사관에게 보살핌, 치료 및 서비스 제공을 포함하여 적어도 8 개 분야에서 "표준을 준수하지 않았다는 증거,"를 발견했습니다. Grassley 상원의원은 이에 대해 만족하지 않았으며 병원의 전체 인정보고서를 일반인에게 공개하는 것을 포함하여 감사관이 찾은 것에 대해 더 투명하게 하기위해 공동위원회에 요청하는 또 다른 서신을 보냈다.
Concerned by the use of psychotropic drugs on military personnel and veterans, CCHR’s complaints noted that UHS developed a Patriot Support Program, providing treatment for active duty members in the Armed Forces. Veterans and their families are also treated in UHS behavioral facilities. Shadow Mountain accepts Tricare and VA insurance.[4] CCHR welcomes any DOD investigation into potential fraudulent Tricare billing.
Senator Grassley also wrote to the Joint Commission, an accrediting organization that conducts surveys of healthcare facilities, asking to explain how it came to award a “Gold Seal of Approval” to Shadow Mountain.
In response, the Joint Commission sent inspectors to Shadow Mountain who found “evidence of non-compliance of standards” in at least eight areas, including provision of care, treatment and services. Senator Grassley wasn’t happy about this and sent another letter calling on The Joint Commission for more transparency about what the surveyors had found, including releasing the hospital’s full accreditation reports to the public.[5]
2013 년부터 미국 법무부 (Department of Justice, DOJ)와 보건 복지부 (OIG-HHS)의 감찰관이 UHS의 행동 시설을 조사하고 있습니다. 현재 플로리다, 그루지야, 일리노이, 매사추세츠, 노스 캐롤라이나, 펜실베이니아, 텍사스, 유타 및 버지니아 9 개 주에서 잠재적인 과금 사기에 대한 조사를 받고있는 시설이 26 곳 있습니다. 2015 년 펜실베니아에있는 UHS 본부도 조사에 추가되었습니다.
연방수사가 시작된지 5 년 만에 UHS의 실적은 바뀌지 않았습니다. 2017 년 4 월 10 일, 매사추세츠 주정부는 연방 법원에 UHS에 대한 소송을 제기하여 자격이 없는 직원이 외래환자 정신건강 치료를 위해 메디 케이드를 불법적으로 부과했다고 비난했습니다. Modern Healthcare는 "올해 UHS는"영리를 추구하는 병원 운영자가 정신병 환자를 자신의 보험에 들기 위해 필요한 것보다 더 오랫동안 유지했다 "는 주장을 통해"UHS는 올해 면밀한 조사를 받았다 "고 보도했다. 매사추세츠는 환급액이 9,420 만 달러 2005 년과 2013 년 사이에 UHS에 제출한 민사 처벌, 또는 총 2 억 8200 만 달러 이상의 민사 처벌을 받았다. 이것은 말도 안되는 막대한 부정행위입니다.
UHS는 UHS의 증권 거래위원회 (SEC)에 따르면 캘리포니아, 펜실베이니아, 매사추세츠, 일리노이, 텍사스, 워싱턴 DC, 네바다 및 버지니아 각 1 억 달러를 초과하는 매년 메디 케이드 수익을 계속 받거나 연간 8 억 달러 이상을 받는 것으로 나타났습니다.이런 황당한 실태에 대한 입증자료를 2016 년 12 월에 제출하라고 요청했습니다.
Since 2013, the U.S. Department of Justice (DOJ) and Office of the Inspector General of the Department of Health and Human Services (OIG-HHS) have been investigating UHS’s behavioral facilities.[6] Currently, there are 26 of these facilities under investigation for potential billing fraud in nine states—Florida, Georgia, Illinois, Massachusetts, North Carolina, Pennsylvania, Texas, Utah and Virginia.[7] In 2015, UHS’s headquarters in Pennsylvania was also added to the investigations.
Five years after the Federal investigations began UHS’s track record hasn’t changed. On April 10, 2017, the state of Massachusetts filed a suit against UHS in federal court, accusing it of illegally charging Medicaid for outpatient mental health care by unqualified staff. As Modern Healthcare reported, “UHS this year has faced scrutiny” over allegations that the “for-profit hospital operator kept psychiatric patients longer than necessary to milk their insurance.” Massachusetts has asked for treble damages on the just over $94.2 million in reimbursements it made to UHS between 2005 and 2013, as well as civil penalties, or a total of more than $282 million.[8]
UHS has continued to receive annual Medicaid revenues in excess of $100 million from each of California, Pennsylvania, Massachusetts, Illinois, Texas, Washington, D.C., Nevada, and Virginia—or greater than $800 million a year, according to UHS’s Securities and Exchange Commission filing in December 2016.[9]
비영리 행동 산업의 개편
Overhaul Needed of For-Profit Behavioral Industry
또한 CCHR은 영리를 목적으로 하는 행동 시설이 주정부 보건 의료 기관 및 미국 메디 케어 및 메디 케이드 서비스 센터 (Medicare and Medicaid Services)의 환자 학대 및 빈곤 상태에 대해 반복적으로 조사될 수있는 방법을 개편해야 한다는 많은 불만 사항을 지적했습니다 CMS)에서 제공되며 CMS가 "수정 계획"및 / 또는 기업 청렴 계약 (CIA)을 제출하기만 하면 되기 때문에 CMS가 지속적으로 자금을 조달할 수 있습니다.
CCHR has also pointed out in its many complaints that there needs to be an overhaul of how for-profit behavioral facilities are able to repeatedly be investigated for patient abuse and poor conditions by state health care agencies and the U.S. Centers for Medicare and Medicaid Services (CMS) and be continually funded by CMS, because they only need submit CMS “Correction Plans” and/or Corporate Integrity Agreements (CIAs), and are able to continue operating—only to repeat the offenses.
In August 2015, CMS said it would cut Medicare and Medicaid funding to UHS’s Timberlawn hospital in Dallas, Texas. The hospital had flunked multiple safety inspections, including the monitoring of suicidal patients, and had failed to make promised improvements. CMS inspectors also found Timberlawn workers had falsified records to avoid scrutiny in a patient-harm case.[10] Timberlawn had already come under investigation in April 2013 for allegations of Medicare fraud and improper treatment of Medicaid patients. There were allegations then that suicidal patients were not properly monitored.
Despite this and CMS terminating Timberlawn’s contract on August 31, 2015, CMS subsequently allowed UHS and Timberlawn to reapply for the CSM program. In March, 2016, the Texas Department of State Health Services (DSHS) moved to close Timberlawn, revoke its license and impose a $1 million fine over safety breaches that included a suicide and violent fights among patients.[11] As of August that year, DSHS had not enforced the fine.[12]
In 2013, The Boston Globe reported on repeated citations for understaffing ad poor worker training at UHS facilities. Then on 9 February 2017, they reported that when the Occupational Safety and Health Administration (OSHA) cited UHS’s Arbour-HRI psychiatric hospital for lack of staff safety due to assaults on staff by patients (often prescribed psychotropic drugs that can induce or increase violent behavior), OSHA issued a five-page citation on January 19, but the facility was only fined $12,675.[13]
In November 2016, the Service Employees International Union opposed UHS’s application to establish a psychiatric facility in Wilsonville, Washington County, Oregon, citing: “UHS has repeatedly been the subject of news reports, lawsuits, and state and federal regulatory citations for failing to provide a safe care setting to prevent suicide incidents within their facilities.” SEIU also pointed out that while “UHS touts Joint Accreditation as a marker of quality care, many of its Joint Commission-accredited facilities have had serious quality of care breakdowns, some of which even involved patient deaths.”[14]
영국에서 잠재적 남용이 확산되고 있다
Expanding the Potential Abuse into the UK
The fact that UHS is allowed to acquire or establish any new psychiatric facility while under federal investigation is astonishing, CCHR says. It has also been allowed to expand its behavioral empire in the United Kingdom, where it acquired the Cygnet psychiatric hospital chain in 2014, then completed its acquisition of another chain, Cambian Group, PLC’s Adult Services Division in December 2016. UHS now owns 102 psychiatric facilities in the UK. In November 2015, CCHR wrote the UK Competition and Markets Authority (CMA), the National Health Service (NHS) and the Care Quality Commission (CQC) warning about the allegations against UHS’s psychiatric operations in the U.S.
정신건강 사기행태는 조직적이다
Mental Health Fraud is Systemic
사립 영리성 정신건강 시스템은 더 많은 감독이 필요합니다. 정부는 이전에 노출된 조직적인 학대 실태로부터 그 부패비리를 발본색원할 방안을 배워야합니다. 지난 20 년 동안 CCHR은 행동 병원 부문에서 범죄 및 민법 사기 해결 및 벌금 37 억 달러 이상을 문서화했습니다. 비영리 정신건강 산업에 대한 기존의 조사가 확대되어야하며 책임과 결과가 자금 지출에 반영되어야 한다고 요구한다. 이것은 국민의 정신 취약성을 미끼로한 정신병동 그룹의 구조적 부패 먹이사슬이다.
1990 년대에 CCHR은 민간 정신건강 부문, 즉 국립 의료기업 (NME) 시설 및 헌장행동 보건병원에서 행한 충격적인 사기를 폭로하기위한 캠페인을 주도했습니다. 그것은 법 집행기관과 FBI에 대한 사기에 대한 증거를 제공했습니다. 요약하자면:
The private for-profit mental health system requires greater oversight. Governments must learn from the systemic abuse that was previously exposed. Over the past two decades, CCHR has documented over $3.7 billion in criminal and civil fraud settlements and fines in the behavioral hospital sector. It says existing investigations into the for-profit mental health industry should be widened, with accountability and results shown for funds expended on it.
In the 1990s, CCHR led a campaign to expose the shocking fraud committed in the private mental health sector, namely in National Medical Enterprises (NME) facilities and Charter Behavioral Health hospitals. It provided evidence then on fraud to law enforcement and the FBI. In summary:
500억 달러의 산업이 더많은 정신병 환자를 모집한다
A $50 Billion Industry Sets its Sights on More Patients
UHS, Acadia Healthcare, equity firms and consultants on behavioral health mergers saw the passage of the Affordable Care Act in 2010, as a “mental health gold rush.”[23] By 2014, IBIS World estimated the US behavioral health market would be about $50 billion in revenues. The major players were (and remain): UHS, Acadia HealthCare, Tenet Healthcare and HCA Holdings.[24] Globally, it is estimated that the behavioral “rehabilitation” market is expected to reach $313.9 billion by 2025. The major mergers and acquisitions include those UK acquisitions by UHS and Acadia Healthcare which acquired the U.K.-based Priory Group.[25]
The UHS scandal is symptomatic of a system that there are insufficient controls and accountability, where fraud can be committed against government programs, and those responsible continue to operate, including the psychiatrists treating hundreds of thousands of Americans in such facilities.
********************** 또 하나의 거대 정신병동..
신이 선택한 민족 이스라엘이 살륙하는 도살장 팔레스틴과 그걸 즐기는 거대한 정신병동 입원자
https://www.youtube.com/watch?v=SQAjj1zYMJY
The Chosenites From Hell
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