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Mjek\u00ebt dhe ofruesit mjek\u00ebsor\u00eb kan\u00eb paguar 26.8 miliard\u00eb dollar\u00eb gjat\u00eb dekad\u00ebs s\u00eb fundit p\u00ebr t\u00eb zgjidhur akuzat federale, duke p\u00ebrfshir\u00eb mashtrimin, ryshfetin dhe d\u00ebmtimin e pacient\u00ebve, zbuloi nj\u00eb hetim i Reuters. <\/span><\/p>\n T\u00eb paguash do t\u00eb thot\u00eb t\u00eb q\u00ebndrosh n\u00eb biznes dhe, p\u00ebr disa, t\u00eb shmang\u00ebsh burgun. <\/span><\/p>\n Prokuror\u00ebt amerikan\u00eb i ndihmuan ta b\u00ebnin k\u00ebt\u00eb.<\/span><\/p>\n Nga MICHAEL BERENS<\/strong><\/span><\/p>\n Kur forcat e zbatimit t\u00eb ligjit pretenduan n\u00eb vitin 2015 se kirurgu i Nju Jorkut, Feng Qin, kishte kryer shum\u00eb procedura kardiake t\u00eb panevojshme nga pik\u00ebpamja mjek\u00ebsore te pacient\u00ebt e moshuar, ata vendos\u00ebn t\u00eb mos ndiqnin k\u00ebt\u00eb \u00e7\u00ebshtje penale q\u00eb k\u00ebrkonte koh\u00eb.<\/span><\/p>\n N\u00eb vend t\u00eb k\u00ebsaj, prokuror\u00ebt zgjodh\u00ebn nj\u00eb strategji ligjore m\u00eb t\u00eb leht\u00eb dhe m\u00eb t\u00eb shpejt\u00eb: nj\u00eb padi civile. Qin pranoi t\u00eb paguante 150,000 dollar\u00eb n\u00eb nj\u00eb marr\u00ebveshje t\u00eb negociuar dhe u largua i lir\u00eb p\u00ebr t\u00eb kryer m\u00eb shum\u00eb operacione kardiake n\u00eb praktik\u00ebn e tij t\u00eb re \u2018solo\u2019 n\u00eb Manhatanin e posht\u00ebm.<\/span><\/p>\n Qin nuk u p\u00ebrball me asnj\u00eb gjyqtar apo juri. Ai nuk e pranoi keqb\u00ebrjen. Ai e mbajti licenc\u00ebn p\u00ebr t\u00eb ushtruar profesionin. P\u00ebr m\u00eb tep\u00ebr, as Qin-it dhe as zyrtar\u00ebve qeveritar\u00eb nuk iu k\u00ebrkua t\u00eb njoftonin pacient\u00ebt q\u00eb supozohej se iu n\u00ebnshtruan procedurave kirurgjikale vaskulare p\u00ebrt\u00eb cilat nuk kishin nevoj\u00eb. Ato p\u00ebrfshinin fistulagrame p\u00ebr t\u00eb evidentuar probleme si ngushtimi i en\u00ebve t\u00eb gjakut ose mpiksjes, dhe angioplastika p\u00ebr t\u00eb hapur arteriet koronare t\u00eb bllokuara.<\/span><\/p>\n Brenda disa muajsh nga zgjidhjae \u00e7\u00ebshtjes, nj\u00eb infermier i regjistruar q\u00eb punonte p\u00ebr Qin n\u00eb zyr\u00ebn e tij n\u00eb Manhattan, paralajm\u00ebroi autoritetet se di\u00e7ka nuk po shkonte. Infermieri, i cili p\u00ebrfundimisht u kthye n\u00eb sinjalizues, u tha prokuror\u00ebve federal\u00eb se kirurgu po kryente procedura t\u00eb panevojshme ndaj pacient\u00ebve, kryesisht emigrant\u00eb t\u00eb moshuar aziatik\u00eb dhe me ngjyr\u00eb, kujdesi i t\u00eb cil\u00ebve mbulohej nga programet publike Medicare ose Medicaid.<\/span><\/p>\n Prokuror\u00ebt e padit\u00ebn Qin n\u00eb vitin 2018 me akuz\u00ebn e r\u00ebnd\u00eb t\u00eb mashtrimit, e cila mbart nj\u00eb d\u00ebnim maksimal prej 10 vjet burg. Por n\u00eb vitin 2021, n\u00eb nj\u00eb marr\u00ebveshje t\u00eb nd\u00ebrmjet\u00ebsuar me dyer t\u00eb mbyllura, prokuror\u00ebt e hoq\u00ebn at\u00eb akuz\u00eb n\u00eb favor t\u00eb nj\u00eb marr\u00ebveshjeje tjet\u00ebr civile, tregojn\u00eb t\u00eb dh\u00ebnat e gjykat\u00ebs q\u00eb japin holl\u00ebsi p\u00ebr at\u00eb marr\u00ebveshje.<\/span><\/p>\n Edhe nj\u00eb her\u00eb, Qin mbajti licenc\u00ebn e tij t\u00eb Nju Jorkut p\u00ebr t\u00eb ushtruar pa kufizime; nj\u00eb licenc\u00eb e kufizuar \u00ebsht\u00eb nj\u00eb nga m\u00ebnyrat e pakta q\u00eb publiku mund t\u00eb m\u00ebsoj\u00eb se nj\u00eb mjek \u00ebsht\u00eb disiplinuar p\u00ebr sjellje t\u00eb keqe. <\/span><\/p>\n Qin ra dakord t\u00eb paguante nj\u00eb total prej 800,000 dollar\u00ebsh n\u00eb k\u00ebste vjetore q\u00eb p\u00ebrfundonin n\u00eb dhjetor 2025, t\u00eb depozituara n\u00eb Departamentin e Thesarit t\u00eb SHBA. Si nj\u00eb d\u00ebnim shtes\u00eb, atij iu ndalua t\u00eb faturonte programet e sh\u00ebndetit publik deri n\u00eb shkurt 2025.<\/span><\/p>\n Prokuror\u00ebt federal\u00eb n\u00eb vitin 2018 padit\u00ebn kirurgun e New York-ut Feng Qin p\u00ebr mashtrim, duke e akuzuar at\u00eb p\u00ebr faturimin e Medicare p\u00ebr procedurat e panevojshme kardiake t\u00eb kryera n\u00eb shum\u00eb pacient\u00eb t\u00eb moshuar. Departamenti i Drejt\u00ebsis\u00eb m\u00eb von\u00eb e hoqi at\u00eb akuz\u00eb penale dhe zgjodhi nj\u00eb zgjidhje civile q\u00eb Qin t’i paguaj\u00eb 800,000 dollar\u00eb qeveris\u00eb. \u00cbsht\u00eb hera e dyt\u00eb p\u00ebr Qin, i cili n\u00eb vitin 2015 pagoi 150,000 dollar\u00eb p\u00ebr t\u00eb zgjidhur akuza t\u00eb ngjashme. Ai nuk pranoi asnj\u00eb shkelje n\u00eb asnj\u00eb rast dhe mbetet i licencuar p\u00ebr t\u00eb ushtruar profesionin n\u00eb New York<\/em><\/span><\/p><\/div>\n Zyrtar\u00ebt e Departamentit t\u00eb Drejt\u00ebsis\u00eb dhe partneri i tyre hetimor, Zyra e Inspektorit t\u00eb P\u00ebrgjithsh\u00ebm (OIG) p\u00ebr Departamentin e Sh\u00ebndet\u00ebsis\u00eb dhe Sh\u00ebrbimeve Njer\u00ebzore, i than\u00eb Reuters se \u2018provat kontradiktore nga ekspert\u00ebt\u2019 e b\u00ebn\u00eb ligj\u00ebrisht t\u00eb v\u00ebshtir\u00eb sfidimin e vendimeve subjektive kirurgjikale t\u00eb Qin, gj\u00eb q\u00eb \u00e7oi n\u00eb hedhjen posht\u00eb t\u00eb aktakuz\u00ebs.<\/span><\/p>\n Agjencit\u00eb federale rregullojn\u00eb faturimet dhe pagesat q\u00eb p\u00ebrfshijn\u00eb programe t\u00eb sh\u00ebndetit publik si Medicare. Qeverit\u00eb e shteteve, shpesh duke punuar s\u00eb bashku me nj\u00eb bord profesionist\u00ebsh mjek\u00ebsor\u00eb, mbik\u00ebqyrin licencimin dhe disiplinimin e mjek\u00ebve dhe shum\u00eb llojeve t\u00eb tjera t\u00eb praktikuesve t\u00eb kujdesit sh\u00ebndet\u00ebsor.<\/span><\/p>\n Departamenti i Sh\u00ebndetit Publik t\u00eb Nju Jorkut, i cili ka autoritet mbi bordin mjek\u00ebsor t\u00eb shtetit t\u00eb Nju Jorkut dhe flet n\u00eb em\u00ebr t\u00eb tij, nuk pranoi t\u00eb komentoj\u00eb n\u00ebse shteti nisi hetimin e tij p\u00ebr Qin.<\/span><\/p>\n Qin, n\u00eb nj\u00eb p\u00ebrgjigje ndaj k\u00ebtij raporti p\u00ebrmes avokat\u00ebve t\u00eb tij, kund\u00ebrshtoi pretendimet e qeveris\u00eb. Por marr\u00ebveshja e tij e zgjidhjes p\u00ebrfshinte pranimin e tij t\u00eb n\u00ebnshkruar se ai kishte kryer dhe faturuar p\u00ebr procedurat kirurgjikale bazuar n\u00eb simptoma q\u00eb ishin \u2018t\u00eb pamjaftueshme p\u00ebr t\u00eb justifikuar k\u00ebto trajtime\u2019.<\/span><\/p>\n Nj\u00eb foto pa dat\u00eb e p\u00ebrdorur n\u00eb nj\u00eb prezantim p\u00ebr t\u00eb promovuar ish-praktik\u00ebn private t\u00eb Dr. Feng Qin n\u00eb qytetin e Nju Jorkut<\/span><\/em><\/p><\/div>\n Infermieri q\u00eb raportoi Qin tek autoritetet n\u00eb 2015 u habit q\u00eb akuza penale u hoq.<\/span><\/p>\n \u201cNj\u00eb mjek i pasur bleu lirin\u00eb e tij duke shmangur burgun\u201d<\/em>, tha sinjalizuesi Mark Favors p\u00ebr Reuters n\u00eb intervist\u00ebn e tij t\u00eb par\u00eb publike p\u00ebr rastin Qin.<\/span><\/p>\n “Sa njer\u00ebz e marrin nj\u00eb marr\u00ebveshje t\u00eb till\u00eb?”<\/em><\/span><\/p>\n Del se numri i tyre \u00ebsht\u00eb i bollsh\u00ebm.<\/span><\/p>\n Vet\u00ebm gjat\u00eb dekad\u00ebs s\u00eb fundit, t\u00eb pakt\u00ebn 540 mjek\u00eb dhe praktikues t\u00eb kujdesit sh\u00ebndet\u00ebsor i kan\u00eb paguar qeveris\u00eb qindra miliona dollar\u00eb n\u00eb m\u00ebnyr\u00eb kolektive p\u00ebr t\u00eb negociuar rrug\u00ebn e tyre larg nga telashet n\u00ebp\u00ebrmjet marr\u00ebveshjeve civile, m\u00eb pas vazhduan t\u00eb ushtrojn\u00eb pun\u00ebn pa kufizime me licencat e tyre, pavar\u00ebsisht pretendimeve q\u00eb p\u00ebrfshinin mashtrim dhe d\u00ebm t\u00eb pacient\u00ebve, zbuloi nj\u00eb hetim i Reuters.<\/span><\/p>\n Kjo shif\u00ebr \u00ebsht\u00eb rezultat i analiz\u00ebs s\u00eb par\u00eb gjith\u00ebp\u00ebrfshir\u00ebse t\u00eb mar\u00ebveshjeve civile federale dhe veprimeve disiplinore shtet\u00ebrore.<\/span><\/p>\n M\u00eb vete, m\u00eb shum\u00eb se 2,200 spitale dhe kompani t\u00eb kujdesit sh\u00ebndet\u00ebsor negociuan gjithashtu marr\u00ebveshje civile p\u00ebr t\u00eb anashkaluar ndjekjen penale p\u00ebr shkelje t\u00eb supozuara q\u00eb p\u00ebrfshinin dh\u00ebnien e ryshfetit, falsifikimin e t\u00eb dh\u00ebnave t\u00eb pacient\u00ebve dhe faturimin e qeveris\u00eb p\u00ebr kujdesin e panevojsh\u00ebm t\u00eb pacientit, tregon analiza e Reuters. <\/span><\/p>\n N\u00eb shum\u00eb prej atyre rasteve, mjek\u00ebt, punonj\u00ebsit dhe drejtuesit e lart\u00eb q\u00eb supozohet se kryen shkeljet nuk u em\u00ebruan publikisht nga prokuror\u00ebt ose u detyruan t\u00eb paguanin vet\u00eb pagesat. Zbatuesit federal\u00eb than\u00eb se ata ndonj\u00ebher\u00eb fshehin emrat e individ\u00ebve n\u00eb k\u00ebto situata p\u00ebr shkak t\u00eb hetimeve t\u00eb vazhdueshme ose t\u00eb planifikuara.<\/span><\/p>\n Qeveria amerikane mblodhi m\u00eb shum\u00eb se 26.8 miliard\u00eb dollar\u00eb n\u00eb zgjidhje civile dhe gjykime t\u00eb lidhura me kujdesin sh\u00ebndet\u00ebsor nga viti 2013 deri n\u00eb 2022, zbuloi analiza e Reuters.<\/span><\/p>\n N\u00eb p\u00ebrgjith\u00ebsi, agjencia ekzaminoi 2,788 \u00e7\u00ebshtje federale t\u00eb zgjidhjes civile dhe veprime administrative gjat\u00eb asaj periudhe kohore; kjo shif\u00ebr p\u00ebrfshin 540 rastet e mjek\u00ebve dhe praktikuesve t\u00eb tjer\u00eb t\u00eb kujdesit sh\u00ebndet\u00ebsor q\u00eb mbajt\u00ebn licencat e tyre pasi ran\u00eb dakord p\u00ebr marr\u00ebveshje civile. Shumica e rasteve jan\u00eb hetuar bashk\u00ebrisht nga Departamenti i Drejt\u00ebsis\u00eb dhe OIG i Sh\u00ebndet\u00ebsis\u00eb dhe Sh\u00ebrbimeve Njer\u00ebzore.<\/span><\/p>\n Viktimat, nd\u00ebrkoh\u00eb, nuk mor\u00ebn asnj\u00eb pjes\u00eb t\u00eb k\u00ebtyre mar\u00ebveshjeve, t\u00eb cilat jan\u00eb derdhur n\u00eb nj\u00eb fond t\u00eb p\u00ebrgjithsh\u00ebm t\u00eb Departamentit t\u00eb Thesarit. Rrjedhimisht, ata duhet t\u00eb ndjekin \u00e7\u00ebshtjet e tyre civile n\u00eb k\u00ebrkim t\u00eb d\u00ebmshp\u00ebrblimit t\u00eb vuajtjeve dhe d\u00ebmeve, zbuloi Reuters.<\/span><\/p>\n As qeveris\u00eb dhe as keqb\u00ebr\u00ebsve t\u00eb dyshuar nuk iu k\u00ebrkua t\u00eb njoftonin pacient\u00ebt q\u00eb mund t\u00eb ishin prekur. Nj\u00eb paciente e sh\u00ebruar nga Michigan m\u00ebsoi vitin e kaluar se onkologu i saj gjinekologjik ishte akuzuar p\u00ebr kryerjen e dhjet\u00ebra operacioneve t\u00eb panevojshme – procedura si ajo q\u00eb ajo iu n\u00ebnshtrua – vet\u00ebm pasi kishte par\u00eb raportet e mediave p\u00ebr marr\u00ebveshjet e tij. Nj\u00eb rishikim i m\u00ebvonsh\u00ebm i t\u00eb dh\u00ebnave t\u00eb saj mjek\u00ebsore nga nj\u00eb mjek tjet\u00ebr zbuloi se organet e saj riprodhuese, t\u00eb cilat ishin hequr, nuk ishin kanceroze, tha ajo p\u00ebr Reuters.<\/span><\/p>\n Sistemi i drejt\u00ebsis\u00eb civile n\u00eb SHBA \u00ebsht\u00eb b\u00ebr\u00eb nj\u00eb taktik\u00eb ky\u00e7e n\u00eb betej\u00ebn e qeveris\u00eb kund\u00ebr mashtrimit t\u00eb kujdesit sh\u00ebndet\u00ebsor. Krahasuar me \u00e7\u00ebshtjet penale, zgjidhjet civile k\u00ebrkojn\u00eb nj\u00eb barr\u00eb m\u00eb t\u00eb ul\u00ebt t\u00eb prov\u00ebs dhe n\u00eb p\u00ebrgjith\u00ebsi jan\u00eb m\u00eb t\u00eb shpejta p\u00ebr t’u \u00e7uar n\u00eb gjyq.<\/span><\/p>\n Por sistemi civil ofron gjithashtu p\u00ebrfitime p\u00ebr shkel\u00ebsit e dyshuar, ndonj\u00ebher\u00eb t\u00eb paq\u00ebllimsh\u00ebm dhe shpesh n\u00eb kurriz t\u00eb pacient\u00ebve, zbuloi analiza e Reuters.<\/span><\/p>\n Pothuajse n\u00eb \u00e7do marr\u00ebveshje t\u00eb zgjidhjes civile t\u00eb analizuar nga Reuters, t\u00eb pandehurve nuk u k\u00ebrkohej t\u00eb pranonin fajin ose p\u00ebrgjegj\u00ebsin\u00eb. P\u00ebr m\u00eb tep\u00ebr, rreth 9 n\u00eb 10 biznese dhe individ\u00eb t\u00eb akuzuar p\u00ebr pasurim t\u00eb rrem\u00eb u lejuan t\u00eb vazhdonin t\u00eb faturonin vet\u00eb programet qeveritare q\u00eb ishin akuzuar se kishin mashtruar, zbuloi Reuters.<\/span><\/p>\n T\u00eb ngarkuar me mbrojtjen e programeve t\u00eb sh\u00ebndetit publik nga shkeljet dhe mashtrimet, m\u00eb shum\u00eb se dy duzina prokuror\u00eb dhe hetues federal\u00eb aktual\u00eb dhe t\u00eb m\u00ebparsh\u00ebm q\u00eb fol\u00ebn p\u00ebr Reuters mbrojt\u00ebn marr\u00ebveshjet si nj\u00eb kompromis me kosto efektive p\u00ebr t\u00eb rikuperuar parat\u00eb e taksapaguesve. Ata pretendojn\u00eb se pajtueshm\u00ebria, jo nd\u00ebshkimi, \u00ebsht\u00eb q\u00ebllimi q\u00eb keqb\u00ebr\u00ebsit e akuzuar t\u00eb mund t\u00eb q\u00ebndrojn\u00eb n\u00eb biznes, duke ruajtur k\u00ebshtu aksesin e publikut n\u00eb sh\u00ebrbimet jetike t\u00eb kujdesit sh\u00ebndet\u00ebsor.<\/span><\/p>\n Nd\u00ebr mjek\u00ebt q\u00eb mbajt\u00ebn licencat e tyre:<\/strong><\/span><\/p>\n Mjeku i Mi\u00e7iganit q\u00eb trajtoi gruan q\u00eb tha se organet e saj riprodhuese ishin hequr pa nevoj\u00eb. Ai u akuzua p\u00ebr kryerjen e histerektomive radikale t\u00eb pajustifikuara dhe administrimin e trajtimeve t\u00eb tep\u00ebrta t\u00eb kimioterapis\u00eb. Prokuror\u00ebt pretendojn\u00eb se mjeku kishte planifikuar tashm\u00eb t\u00eb pakt\u00ebn nj\u00eb pacient p\u00ebr operacion p\u00ebrpara se ta ekzaminonte at\u00eb p\u00ebr her\u00eb t\u00eb par\u00eb. Ai pagoi 775,000 dollar\u00eb vitin e kaluar p\u00ebr t\u00eb arritur nj\u00ebmarr\u00ebveshje civile.<\/span><\/p>\n Nj\u00eb mjek nga Kalifornia – themeluesi dhe pronari i nj\u00eb zinxhiri spitalor komb\u00ebtar – i akuzuar p\u00ebr nj\u00eb skem\u00eb t\u00eb orientuar drejt fitimit p\u00ebr t\u00eb shtruar pacient\u00eb q\u00eb k\u00ebrkonin kujdes m\u00eb pak t\u00eb kushtuesh\u00ebm dhe ambulator. Mjeku dhe zinxhiri i tij pagoi nj\u00eb total prej 37.5 milion dollar\u00eb vitin e kaluar p\u00ebr t\u00eb zgjidhur at\u00eb rast, i cili pasoi dy zgjidhje t\u00eb ngjashme me nj\u00eb total prej 66.25 milion dollar\u00ebsh.<\/span><\/p>\n Bordi mjek\u00ebsor i Mi\u00e7iganit dhe Kalifornis\u00eb dhe zyrtar\u00ebt sh\u00ebndet\u00ebsor\u00eb, t\u00eb cil\u00ebt rregullojn\u00eb licencat e kujdesit sh\u00ebndet\u00ebsor dhe vendosin masa disiplinore kund\u00ebr shkel\u00ebsve q\u00eb shkelin kodet shtet\u00ebrore t\u00eb sjelljes, i than\u00eb Reuters se ishin n\u00eb dijeni t\u00eb marr\u00ebveshjeve federale n\u00eb k\u00ebto raste p\u00ebrkat\u00ebse. Ata nuk pranuan t\u00eb komentojn\u00eb n\u00ebse kishin marr\u00eb ndonj\u00eb ankes\u00eb p\u00ebr k\u00ebta mjek\u00eb apo kishin nisur hetimet e tyre.<\/span><\/p>\n An\u00ebtar\u00ebsia n\u00eb pothuajse t\u00eb gjitha bordet mjek\u00ebsore shtet\u00ebrore dominohet nga mjek\u00ebt q\u00eb vendosin rregulla p\u00ebr sjelljen dhe vendosin nd\u00ebshkimin p\u00ebr bashk\u00ebmoshatar\u00ebt e tyre, sipas Matthe\u00eb Smith, drejtor ekzekutiv i Koalicionit Kund\u00ebr Mashtrimit t\u00eb Sigurimeve me qend\u00ebr n\u00eb Uashington. Si rezultat, sistemi tenton t\u00eb mbroj\u00eb mjek\u00ebt, tha ai.<\/span><\/p>\n \u201cAta shohin an\u00ebn tjet\u00ebr. Ata nuk duan t\u2019ia din\u00eb,”<\/em> tha Smith, organizata e t\u00eb cilit mbron ligjet kund\u00ebr mashtrimit n\u00eb em\u00ebr t\u00eb siguruesve dhe nj\u00eb konsorciumi t\u00eb agjencive qeveritare, zbatimit t\u00eb ligjit dhe grupeve t\u00eb konsumator\u00ebve.<\/span><\/p>\n Disa borde mjek\u00ebsore shtet\u00ebrore kan\u00eb politika q\u00eb n\u00eb dukje pengojn\u00eb ose dekurajojn\u00eb ankesat p\u00ebr keqb\u00ebrje, tha Smith. K\u00ebto p\u00ebrfshijn\u00eb k\u00ebrkes\u00ebn e pal\u00ebve q\u00eb b\u00ebjn\u00eb ankesa p\u00ebr ta b\u00ebr\u00eb k\u00ebt\u00eb n\u00eb deklarata t\u00eb noterizuara dhe zbulimin e identitetit t\u00eb tyre tek mjek\u00ebt e akuzuar, sipas t\u00eb dh\u00ebnave nga Federata e Bordeve Mjek\u00ebsore Shtet\u00ebrore, nj\u00eb organizat\u00eb tregtare jofitimprur\u00ebse me baz\u00eb n\u00eb Uashington.<\/span><\/p>\n Fsheht\u00ebsia \u00ebsht\u00eb gjithashtu e p\u00ebrhapur, tregojn\u00eb t\u00eb dh\u00ebnat e federat\u00ebs. N\u00eb t\u00eb pakt\u00ebn 28 \u200b\u200bshtete, bordet mund t\u00eb l\u00ebshojn\u00eb urdhra disiplinore konfidenciale p\u00ebr mbylljen e rasteve pa ia zbuluar publikut; as ankuesi nuk lejohet t\u00eb dij\u00eb se \u00e7far\u00eb ka ndodhur.<\/span><\/p>\n Ndjekja e marr\u00ebveshjeve federale t\u00eb kujdesit sh\u00ebndet\u00ebsor mund t\u00eb jet\u00eb e v\u00ebshtir\u00eb. Nuk ka asnj\u00eb arkiv t\u00eb qeveris\u00eb qendrore. Nd\u00ebrsa shumica e \u00e7\u00ebshtjeve civile depozitohen n\u00eb gjykata federale t\u00eb aksesueshme nga publiku, OIG n\u00eb dekad\u00ebn e kaluar zgjidhi qindra padi civile si \u00e7\u00ebshtje administrative ose t\u00eb brendshme, zbulimi publik i t\u00eb cilave ishte i pak\u00ebt, zbuloi analiza e Reuters.<\/span><\/p>\n Njoftimet e zbatimit t\u00eb postuara n\u00eb faqen e internetit t\u00eb OIG p\u00ebr k\u00ebto raste zakonisht nuk jan\u00eb m\u00eb t\u00eb gjata se disa fjali. K\u00ebto p\u00ebrmbledhje t\u00eb shkurtra nuk japin holl\u00ebsi n\u00eb lidhje me pretendimet ose identitetin e autor\u00ebve t\u00eb dyshuar.<\/span><\/p>\n P\u00ebr t\u00eb identifikuar marr\u00ebveshjet, Reuters krijoi nj\u00eb baz\u00eb t\u00eb dh\u00ebnash t\u00eb rasteve civile federale t\u00eb paraqitura nga Departamenti i Drejt\u00ebsis\u00eb, m\u00eb pas identifikoi veprimet e brendshme nga OIG, e cila ka p\u00ebr detyr\u00eb t\u00eb kontrolloj\u00eb programet e kujdesit sh\u00ebndet\u00ebsor publik p\u00ebr shp\u00ebrdorim dhe mashtrimet. <\/span><\/p>\n Raste t\u00eb tjera u rendit\u00ebn nga zbulimet e kompanive t\u00eb kujdesit sh\u00ebndet\u00ebsor n\u00eb Komisionin e Letrave me Vler\u00eb dhe Shk\u00ebmbim t\u00eb SHBA-s\u00eb dhe p\u00ebrmes Westlaw, nj\u00eb sh\u00ebrbim k\u00ebrkimor ligjor n\u00eb pron\u00ebsi t\u00eb Thomson Reuters. Identitetet e mjek\u00ebve nga \u00e7\u00ebshtjet civile u kryq\u00ebzuan me dosjet disiplinore t\u00eb bordit mjek\u00ebsor shtet\u00ebror p\u00ebr t\u00eb p\u00ebrcaktuar statusin e licenc\u00ebs s\u00eb \u00e7do mjeku dhe historin\u00eb e zbatimit. (M\u00eb shum\u00eb holl\u00ebsi mbi metodologjin\u00eb e Reuters mund t\u00eb gjenden k\u00ebtu.)<\/span><\/p>\n Zgjidhjet civile mund t\u00eb mos jen\u00eb nj\u00eb zgjidhje e p\u00ebrsosur n\u00eb \u00e7do rast, por ato shpesh jan\u00eb nj\u00eb domosdoshm\u00ebri p\u00ebr prokuror\u00ebt me staf t\u00eb pamjaftuesh\u00ebm dhe t\u00eb keqfinancuar, tha Jim May, nj\u00eb ish-ndihm\u00ebs prokuror i SHBA-s\u00eb q\u00eb sh\u00ebrbeu n\u00eb Karolin\u00ebn e Jugut nga viti 2012 deri n\u00eb 2021. D\u00ebnimet penale n\u00eb raste t\u00eb tilla jan\u00eb t\u00eb rralla. <\/span><\/p>\n May tha se marr\u00ebveshjet e negociuara jan\u00eb nj\u00eb m\u00ebnyr\u00eb p\u00ebr t’i mbajtur t\u00eb pandehurit p\u00ebrgjegj\u00ebs, ve\u00e7an\u00ebrisht ata q\u00eb kan\u00eb mjetet financiare p\u00ebr t\u00eb pun\u00ebsuar avokat\u00eb t\u00eb aft\u00eb n\u00eb parandalimin e ndjekjeve penale me taktika vonese.<\/span><\/p>\n \u201cProkuror\u00ebt duan t\u00eb b\u00ebjn\u00eb gj\u00ebn\u00eb e duhur\u201d<\/em>, tha May. “Por burimet nuk jan\u00eb gjithmon\u00eb aty.”<\/em><\/span><\/p>\n Disa kritik\u00eb t\u00eb k\u00ebsaj qasjeje kan\u00eb nj\u00eb em\u00ebr tjet\u00ebr p\u00ebr t\u00eb: “Paguaj p\u00ebr t\u00eb shp\u00ebtuar”.<\/em><\/span><\/p>\n D\u00ebmi i madh<\/strong><\/span><\/p>\n Hetimet konfidenciale t\u00eb kujdesit sh\u00ebndet\u00ebsor mund t\u00eb zgjasin vite p\u00ebrpara se t\u00eb shpallet nj\u00eb aktakuz\u00eb penale ose marr\u00ebveshje civile. Gjat\u00eb k\u00ebtij hendeku kritik kohor, mjek\u00ebt e dyshuar q\u00eb kan\u00eb kryer shkelje q\u00ebndrojn\u00eb n\u00eb m\u00ebnyr\u00eb rutinore n\u00eb pun\u00eb, duke v\u00ebn\u00eb potencialisht m\u00eb shum\u00eb pacient\u00eb n\u00eb rrezik d\u00ebmtimi.<\/span><\/p>\n Zbatuesve federal\u00eb u mungon autoriteti ligjor p\u00ebr t\u00eb pezulluar ose hequr licenc\u00ebn e nj\u00eb mjeku. Kjo fuqi \u00ebsht\u00eb e rezervuar p\u00ebr bordet shtet\u00ebrore mjek\u00ebsore.<\/span><\/p>\n Asnj\u00eb nga 540 mjek\u00ebt e em\u00ebruar n\u00eb rastet individuale t\u00eb pages\u00ebs p\u00ebr q\u00ebndrim t\u00eb ekzaminuar nga Reuters nuk i \u00ebsht\u00eb pezulluar ose hequr licenca, qoft\u00eb gjat\u00eb nj\u00eb hetimi federal ose pasi ishte arritur nj\u00eb marr\u00ebveshje, zbuloi analiza. Kjo ishte e v\u00ebrtet\u00eb edhe p\u00ebr rastet n\u00eb t\u00eb cilat t\u00eb dh\u00ebnat e bordit mjek\u00ebsor tregojn\u00eb se bordet kishin marr\u00eb paralajm\u00ebrime nga sinjalizuesit ose agjencit\u00eb federale se nj\u00eb mjek dyshohej se kishte l\u00ebnduar pacient\u00ebt.<\/span><\/p>\n Midis k\u00ebtyre rasteve ishte ai i onkologut gjinekologjik t\u00eb Mi\u00e7iganit, nj\u00eb mjek i zon\u00ebs s\u00eb Detroitit me emrin Vinay K. Malviya. Ai vijoi t\u00eb punoj\u00eb dhe mbetet e licencuar edhe sot, pavar\u00ebsisht pretendimeve t\u00eb ngritura nga prokuror\u00ebt n\u00eb t\u00eb dh\u00ebnat e gjykat\u00ebs federale se kishte administruar trajtime t\u00eb tep\u00ebrta kimioterapie dhe ka kryer histerektomi radikale t\u00eb panevojshme mjek\u00ebsore nga shkurti 2011 deri n\u00eb qershor 2017. Bordi mjek\u00ebsor shtet\u00ebror ishte n\u00eb dijeni t\u00eb k\u00ebtyre pretendimeve dhe vendosi t\u00eb mos pezulloj\u00eb licenc\u00ebn e Malviya nd\u00ebrsa hetimi vazhdon, tregojn\u00eb t\u00eb dh\u00ebnat e bordit.<\/span><\/p>\n Sipas pretendimeve t\u00eb b\u00ebra nga prokuror\u00ebt n\u00eb regjistrat e gjykat\u00ebs federale, shqet\u00ebsimet p\u00ebr Malviya qarkullonin p\u00ebr vite me radh\u00eb n\u00eb sistemin spitalor jofitimprur\u00ebs ku i punonte, duke nxitur drejtuesit e asaj organizate, Ascension Medical, t\u00eb fillonin nj\u00eb shqyrtim t\u00eb brendsh\u00ebm t\u00eb rasteve t\u00eb tij.<\/span><\/p>\n Raporti i tyre konfidencial, i p\u00ebrfunduar n\u00eb mars 2017 sipas nj\u00eb deklarate federale, \u2018konfirmoi se disa pacient\u00eb ishin d\u00ebmtuar nga pakujdesia e madhe e Malviya n\u00eb kryerjen e procedurave t\u00eb panevojshme dhe kimioterapis\u00eb t\u00eb d\u00ebmshme p\u00ebr pacientin\u2019, tregojn\u00eb t\u00eb dh\u00ebnat e vulosura m\u00eb par\u00eb t\u00eb gjykat\u00ebs federale t\u00eb par\u00eb nga Reuters.<\/span><\/p>\n M\u00eb von\u00eb po at\u00eb vit, n\u00eb korrik 2017, tre punonj\u00ebs t\u00eb Ascension Medical paraqit\u00ebn nj\u00eb padi t\u00eb vulosur p\u00ebr sinjalizues n\u00eb nj\u00eb gjykat\u00eb federale t\u00eb Mi\u00e7iganit. Departamenti i Drejt\u00ebsis\u00eb ra dakord t’i bashkohej padis\u00eb dhe shpejt hapi hetimin e vet me OIG, tregojn\u00eb t\u00eb dh\u00ebnat e gjykat\u00ebs federale.<\/span><\/p>\n Tre sinjalizuesit – t\u00eb gjith\u00eb punonj\u00ebs t\u00eb zyr\u00ebs q\u00eb trajtonin t\u00eb dh\u00ebnat dhe faturimet e pacient\u00ebve – pohuan se q\u00eb n\u00eb vitin 2011, Malviya kishte kryer histerektomi radikale t\u00eb panevojshme mjek\u00ebsore: heqjen e mitr\u00ebs, vezoreve dhe tubave fallopiane. N\u00eb nj\u00eb rast, Malviya kishte planifikuar tashm\u00eb nj\u00eb paciente p\u00ebr procedur\u00ebn p\u00ebrpara se ta ekzaminonte p\u00ebr her\u00eb t\u00eb par\u00eb, sipas ankes\u00ebs s\u00eb tyre federale.<\/span><\/p>\n Ekstrakt nga nj\u00eb ankes\u00eb e vitit 2017 e depozituar kund\u00ebr Dr. Vinay K. Malviya, nj\u00eb onkolog gjinekologjik n\u00eb Michigan, i akuzuar p\u00ebr kryerjen e histerektomive radikale t\u00eb panevojshme q\u00eb rritnin faturimin e pacientit. Ai p\u00ebrfundimisht arriti nj\u00eb marr\u00ebveshje me qeverin\u00eb federale p\u00ebr 775,000 dollar\u00eb. Malviya nuk pranoi se kishte b\u00ebr\u00eb ndonj\u00eb shkelje dhe mbetet i licencuar p\u00ebr t\u00eb ushtruar mjek\u00ebsi.<\/span><\/em><\/p><\/div>\n Padia e sinjalizuesit tregonte gjithashtu nj\u00eb motiv financiar: Si Ascension ashtu edhe Malviya mblodh\u00ebn m\u00eb shum\u00eb t\u00eb ardhura nga operacionet dhe trajtimet komplekse, t\u00eb cilat kualifikoheshin p\u00ebr rimbursime m\u00eb t\u00eb larta nga programet e drejtuara nga qeveria si Medicare.<\/span><\/p>\n N\u00eb gusht 2021, Departameti i Drejt\u00ebsis\u00eb njoftoi publikisht nj\u00eb marr\u00ebveshje me Ascension dhe ajo hapi pjes\u00eb t\u00eb padis\u00eb s\u00eb sinjalizuesit. Zyrtar\u00ebt e spitalit ran\u00eb dakord t\u00eb paguanin 2.8 milion\u00eb dollar\u00eb bazuar n\u00eb pretendimet se ata kishin paraqitur \u2018me vet\u00ebdije\u2019 pretendime t\u00eb rreme p\u00ebr faturimin nga viti 2011 deri n\u00eb 2017, sipas nj\u00eb deklarate t\u00eb zgjidhjes s\u00eb Departamentit t\u00eb Drejt\u00ebsis\u00eb.<\/span><\/p>\n Departamenti i Drejt\u00ebis\u00eb vuri n\u00eb dukje se Ascension i kishte dh\u00ebn\u00eb fund marr\u00ebdh\u00ebnies s\u00eb saj kontraktuale me mjeken e p\u00ebrfshir\u00eb. Ai nuk e zbuloi identitetin e Malviya sepse ai mbeti n\u00ebn hetim federal.<\/span><\/p>\n Zyrtar\u00ebt e Ascension nuk iu p\u00ebrgjigj\u00ebn k\u00ebrkesave t\u00eb Reuters p\u00ebr koment n\u00eb lidhje me marr\u00ebveshjen ose nuk zbuluan se kur p\u00ebrfunduan kontrat\u00ebn e tyre t\u00eb pun\u00ebs me Malviya. Prokuror\u00ebt vler\u00ebsuan publikisht zyrtar\u00ebt e Ascension p\u00ebr bashk\u00ebpunimin me hetimin e tyre dhe p\u00ebr zbulimin vullnetar t\u00eb provave t\u00eb mashtrimit t\u00eb mundsh\u00ebm. Zgjidhja nuk ishte as nj\u00eb pranim i p\u00ebrgjegj\u00ebsis\u00eb nga Ascension dhe as nj\u00eb l\u00ebshim nga qeveria se pretendimet e saj ishin t\u00eb pabazuara, sipas marr\u00ebveshjes s\u00eb n\u00ebnshkruar.<\/span><\/p>\n Emri i Malviya u zbulua p\u00ebrfundimisht n\u00eb prill 2022 kur prokuror\u00ebt zbuluan marr\u00ebveshjen e tyre t\u00eb zgjidhjes. Mjeku ra dakord t\u00eb paguante 775,000 dollar\u00eb dhe t\u00eb mos faturonte programet e qeveris\u00eb p\u00ebr kujdesin e pacientit p\u00ebr tre vjet, sipas t\u00eb dh\u00ebnave t\u00eb gjykat\u00ebs.<\/span><\/p>\n N\u00eb nj\u00eb deklarat\u00eb me shkrim dh\u00ebn\u00eb Reuters, Malviya mohoi keqb\u00ebrjen dhe vuri n\u00eb dukje se nuk kishte asnj\u00eb p\u00ebrcaktim t\u00eb p\u00ebrgjegj\u00ebsis\u00eb n\u00eb marr\u00ebveshjen e tij me qeverin\u00eb. Ai tha se vendosip\u00ebrmarr\u00ebveshjen p\u00ebr t\u00eb shmangur \u2018stresin dhe shpenzimet e m\u00ebdha t\u00eb procesit gjyq\u00ebsor\u2019. <\/span><\/p>\n Ai tha se specialist\u00eb t\u00eb pavarur i kishin shqyrtuar rastet n\u00eb fjal\u00eb dhe kishin arritur n\u00eb p\u00ebrfundimin se ai kishte ndjekur standardet e vendosura mir\u00eb t\u00eb kujdesit. Malviya e karakterizoi veten si nj\u00eb \u2018mjek i fundit\u2019 q\u00eb trajtonte raste t\u00eb v\u00ebshtira, komplekse q\u00eb k\u00ebrkonin trajtime unike, t\u00eb ngjashme me lundrimin n\u00eb \u2018uj\u00ebra t\u00eb paeksploruar\u2019 shkroi ai.<\/span><\/p>\n Malviya gjithashtu mund t\u00eb p\u00ebrballet me nj\u00eb padi p\u00ebr pakujdesi private.<\/span><\/p>\n T\u00eb pakt\u00ebn 150 ish-pacient\u00eb jan\u00eb intervistuar nga avokat\u00ebt e Mi\u00e7iganit, t\u00eb cil\u00ebt e njoftuan zyrtarisht Malviya n\u00eb dhjetor p\u00ebr q\u00ebllimin e tyre p\u00ebr t\u00eb ngritur nj\u00eb padi; k\u00ebrkohet nj\u00eb periudh\u00eb e detyrueshme pritjeje prej 182 dit\u00ebsh n\u00eb rastet e keqp\u00ebrdorimeve t\u00eb Mi\u00e7iganit p\u00ebr t’u dh\u00ebn\u00eb t\u00eb pandehurve potencial\u00eb nj\u00eb shans p\u00ebr t’u p\u00ebrgatitur p\u00ebr gjykat\u00eb. \u00c7\u00ebshtja mund t\u00eb paraqitet n\u00eb \u00e7do koh\u00eb pas fundit t\u00eb qershorit.<\/span><\/p>\n Duke iu referuar padis\u00eb s\u00eb mundshme, Malviya n\u00eb deklarat\u00ebn e tij p\u00ebr Reuters etiketoi pretendimet p\u00ebr d\u00ebmtim t\u00eb pacientit t\u00eb b\u00ebra nga avokat\u00ebt e l\u00ebndimeve personale si \u2018t\u00eb rreme dhe shpif\u00ebse\u2019 dhe tha se ai kishte k\u00ebrkuar q\u00eb ata t\u00eb t\u00ebrhiqnin ato pohime t\u00eb b\u00ebra n\u00eb internet dhe n\u00eb letra drejtuar pacient\u00ebve.<\/span><\/p>\n Dr. Vinay K. Malviya, nj\u00eb onkolog gjinekologjik n\u00eb Michigan, mund t\u00eb p\u00ebrballet me nj\u00eb padi p\u00ebr keqp\u00ebrdorim q\u00eb rrjedh nga pretendimet se ai ka d\u00ebmtuar shum\u00eb njer\u00ebz n\u00ebp\u00ebrmjet procedurave t\u00eb panevojshme. Avokat\u00ebt e l\u00ebndimeve personale thon\u00eb se kan\u00eb intervistuar t\u00eb pakt\u00ebn 150 nga ish-pacient\u00ebt e tij, disa prej t\u00eb cil\u00ebve u arrit\u00ebn p\u00ebrmes nj\u00eb uebsajti t\u00eb krijuar p\u00ebr t\u00eb rekrutuar padit\u00ebs t\u00eb mundsh\u00ebm. Malviyala\u00ebsuit.com<\/span><\/em><\/p><\/div>\n Donna MacKenzie e Olsman MacKenzie Peacock & Wallace ishte nj\u00eb nga avokat\u00ebt q\u00eb kreu intervista me pacient\u00ebt.<\/span><\/p>\n \u201cGrat\u00eb na than\u00eb se besojn\u00eb se ai ka kryer operacione t\u00eb panevojshme ose ka urdh\u00ebruar kimioterapi t\u00eb tep\u00ebrt,\u201d<\/em> tha ajo.<\/span><\/p>\n “Shum\u00eb than\u00eb se ata p\u00ebsuan nj\u00eb d\u00ebm q\u00eb u ndryshoi jet\u00ebn.”<\/em> Ajo dhe avokat\u00eb t\u00eb tjer\u00eb n\u00eb k\u00ebt\u00eb \u00e7\u00ebshtje than\u00eb se kund\u00ebrshtuan k\u00ebrkesat p\u00ebr t\u00ebrheqje t\u00eb Malviya.<\/span><\/p>\n Nj\u00eb nga ish-pacientet e Malviya, e cila k\u00ebrkoi t\u00eb mos identifikohej p\u00ebrpara se t\u00eb ngrihej padia, tha se ajo k\u00ebrkoi trajtim n\u00eb vitin 2017 p\u00ebr shkak t\u00eb dhimbjeve t\u00eb forta t\u00eb stomakut. Ajo tha se Malviya e diagnostikoi at\u00eb me nj\u00eb kist ovarian, gj\u00eb q\u00eb ishte alarmante sepse familja e saj kishte nj\u00eb histori gjenetike t\u00eb kancerit. Ajo ra dakord p\u00ebr nj\u00eb operacion p\u00ebr t\u00eb hequr kistin.<\/span><\/p>\n “Mendova se mund t\u00eb vdisja nga kanceri,”<\/em> tha ajo.<\/span><\/p>\n Vet\u00ebm pas operacionit ajo m\u00ebsoi se i ishin hequr t\u00eb gjitha organet riprodhuese, tha ajo. Pasi m\u00ebsoi p\u00ebr marr\u00ebveshjen e Malviya n\u00eb vitin 2022 me prokuror\u00ebt federal\u00eb nga raportet e mediave lokale, gruaja tha se ajo ndau t\u00eb dh\u00ebnat e saj mjek\u00ebsore me nj\u00eb mjek tjet\u00ebr, i cili p\u00ebrcaktoi se cista e saj nuk kishte qen\u00eb kancerogjene. Ajo tani beson se kisti mund t\u00eb ishte hequr pa humbjen e organeve t\u00eb saj riprodhuese. Reuters nuk mund t\u00eb konfirmonte n\u00eb m\u00ebnyr\u00eb t\u00eb pavarur pretendimet e saj.<\/span><\/p>\n Departamenti i Licencimit dhe \u00c7\u00ebshtjeve Rregullatore t\u00eb Mi\u00e7iganit hapi nj\u00eb hetim p\u00ebr Malviya n\u00eb vitin 2017 pasi mori nj\u00eb ankes\u00eb konfidenciale, e cila p\u00ebrfshinte p\u00ebrmbledhje mjek\u00ebsore t\u00eb 10 pacient\u00ebve, sipas t\u00eb dh\u00ebnave nga Bordi i Mjek\u00ebsis\u00eb i shtetit. Bordi hapi hetimin e tij n\u00eb 2018 p\u00ebr t\u00eb p\u00ebrcaktuar n\u00ebse masa disiplinore ishte e garantuar.<\/span><\/p>\n Dokumentet e bordit n\u00eb rastin e Malviya cituan nj\u00eb raport t\u00eb vitit 2017 nga nj\u00eb ekspert i pun\u00ebsuar nga shteti. Raporti arriti n\u00eb p\u00ebrfundimin se Malviya, n\u00eb disa raste, \u2018kishte kryer histerektomi radikale ku nuk kishte asnj\u00eb tregues p\u00ebr procedur\u00ebn\u2019, sipas p\u00ebrmbledhjes hetimore t\u00eb bordit, t\u00eb shqyrtuar nga Reuters. Eksperti i paidentifikuar gjithashtu shkroi se Malviya kishte urdh\u00ebruar kimioterapi t\u00eb tep\u00ebrt, e cila, n\u00ebse nuk kontrollohet, \u2018ka aft\u00ebsin\u00eb t\u00eb b\u00ebj\u00eb d\u00ebm t\u00eb madh\u2019.<\/span><\/p>\n Bordi mjek\u00ebsor prej 19 an\u00ebtar\u00ebsh kishte fuqin\u00eb ligjore p\u00ebr t\u00eb pezulluar p\u00ebrkoh\u00ebsisht licenc\u00ebn e Malviya n\u00eb pritje t\u00eb hetimit t\u00eb tij, i cili ndodhi rreth kat\u00ebr vjet p\u00ebrpara zgjidhjes federale. Ai zgjodhi nj\u00eb opsion tjet\u00ebr: N\u00eb vitin 2019, bordi urdh\u00ebroi Malviya t\u00eb ndiqte nj\u00eb kurs edukimi t\u00eb vazhduesh\u00ebm dhe t\u00eb paguante 15,000 dollar\u00eb bordit, tregojn\u00eb t\u00eb dh\u00ebnat e tij.<\/span><\/p>\n Bordi shtet\u00ebror mjek\u00ebsor dhe zyrtar\u00ebt e licencimit nuk iu p\u00ebrgjigj\u00ebn k\u00ebrkesave t\u00eb Reuters p\u00ebr koment.<\/span><\/p>\n Malviya, 69 vje\u00e7, mbetet aktivisht i licencuar pa kufizime n\u00eb Michigan, megjith\u00ebse zyra e tij e praktik\u00ebs private \u00ebsht\u00eb mbyllur. Ai nuk e komentoi statusin e tij t\u00eb pun\u00ebsimit.<\/span><\/p>\n Shlyerje t\u00eb shumta, pa p\u00ebrgjegj\u00ebsi<\/strong><\/span><\/p>\n Prime Healthcare Services Inc me baz\u00eb n\u00eb Kaliforni, nj\u00eb ombrell\u00eb korporative p\u00ebr dhjet\u00ebra spitale t\u00eb SHBA-s\u00eb, \u00ebsht\u00eb i vetmi sistem i objekteve mjek\u00ebsore n\u00eb vend q\u00eb ka zgjidhur tre \u00e7\u00ebshtje civile federale n\u00eb gjasht\u00eb vitet e fundit, bazuar n\u00eb analiz\u00ebn e Reuters.<\/span><\/p>\n P\u00ebr qeverin\u00eb, rastet p\u00ebrfaq\u00ebsojn\u00eb sukses. Prokuror\u00ebt jo vet\u00ebm q\u00eb negociuan marr\u00ebveshje shum\u00ebmilion\u00ebshe nga subjektet kryesore t\u00eb korporatave, ata gjithashtu nxorr\u00ebn marr\u00ebveshje nga disa mjek\u00eb, duke p\u00ebrfshir\u00eb shefin ekzekutiv.<\/span><\/p>\n P\u00ebr publikun, megjithat\u00eb, vargu i zgjidhjeve n\u00ebnvizon kufijt\u00eb e zbatimit t\u00eb k\u00ebsaj qasjeje kur shkel\u00ebsit e supozuar mund t\u00eb paguajn\u00eb n\u00eb m\u00ebnyr\u00eb t\u00eb p\u00ebrs\u00ebritur p\u00ebr mbylljen e rasteve.<\/span><\/p>\n N\u00eb zgjidhjen e par\u00eb n\u00eb 2018, Prime dhe fondacioni i tij jofitimprur\u00ebs, s\u00eb bashku me zbatuesit federal\u00eb pretenduan se t\u00eb pandehurit nga viti 2006 deri n\u00eb 2013 \u2018paraqisnin me vet\u00ebdije pretendime t\u00eb rreme\u2019 n\u00eb Medicare duke shtruar n\u00eb spital nj\u00eb num\u00ebr t\u00eb pazbuluar pacient\u00ebsh q\u00eb mund t\u00eb ishin trajtuar me kujdes m\u00eb pak t\u00eb kushtuesh\u00ebm ambulator dhe duke \u2018falsifikuar informacionin n\u00eb lidhje me diagnozat\u2019 p\u00ebr t\u00eb rritur rimbursimet e Medicare.<\/span><\/p>\n Nj\u00eb sinjalizues spitali, i cili mori rreth 17 milion\u00eb dollar\u00eb nga ajo marr\u00ebveshje, pretendoi n\u00eb nj\u00eb deklarat\u00eb n\u00ebn betim se \u2018shum\u00eb pacient\u00ebve iu tha se ishin shum\u00eb m\u00eb t\u00eb s\u00ebmur\u00eb se ata, duke krijuar nj\u00eb atmosfer\u00eb pasigurie dhe frike\u2019. Qeveria nuk i k\u00ebrkoi Prime ose Reddy t\u00eb pranonin fajin ose p\u00ebrgjegj\u00ebsin\u00eb, sipas t\u00eb dh\u00ebnave t\u00eb gjykat\u00ebs, dhe as nuk u detyruan t\u00eb njoftonin pacient\u00ebt q\u00eb supozohej se ishin shtruar n\u00eb spital n\u00eb m\u00ebnyr\u00eb t\u00eb panevojshme.<\/span><\/p>\n Akuza t\u00eb ngjashme u shfaq\u00ebn n\u00eb vitin 2019. Reddy dhe dy spitale t\u00eb menaxhuara nga Prime n\u00eb Pensilvani ran\u00eb dakord t’i paguanin 1.25 milion\u00eb dollar\u00eb qeveris\u00eb p\u00ebr t\u00eb zgjidhur akuzat e faturimit p\u00ebr shtrime t\u00eb panevojshme n\u00eb spital dhe diagnoza t\u00eb rreme, sipas t\u00eb dh\u00ebnave t\u00eb gjykat\u00ebs federale. Edhe nj\u00eb her\u00eb, pacient\u00ebt nuk u njoftuan sepse, si me zgjidhjen e par\u00eb, qeveria nuk i k\u00ebrkoi Prime ose Reddy t\u00eb pranonin fajin ose p\u00ebrgjegj\u00ebsin\u00eb.<\/span><\/p>\n Dr. Prem Reddy dhe nj\u00eb koleg ‘me Presidentin Joe Biden dhe Zonj\u00ebn e Par\u00eb Dr. Jill Biden n\u00eb nj\u00eb foto t\u00eb postuar vitin e kaluar n\u00eb faqen e Facebook t\u00eb Prime Healthcare Services Inc, nj\u00eb zinxhir spitalesh i themeluar nga Reddy, i cili gjithashtu sh\u00ebrben si CEO i tij. Prime dhe Reddy s\u00eb \u200b\u200bbashku i kan\u00eb paguar m\u00eb shum\u00eb se 100 milion\u00eb dollar\u00eb qeveris\u00eb q\u00eb nga viti 2018, si pjes\u00eb e tre vendbanimeve t\u00eb ve\u00e7anta civile federale. Prokuror\u00ebt akuzuan kompanin\u00eb dhe shefin e saj ekzekutiv t\u00eb \u201cMedicare\u201d p\u00ebrmes nj\u00eb skeme t\u00eb orientuar nga fitimi p\u00ebr t\u00eb shtruar pacient\u00ebt n\u00eb spital n\u00eb m\u00ebnyr\u00eb t\u00eb panevojshme. Prime dhe Reddy nuk pranuan se nuk kishin b\u00ebr\u00eb ndonj\u00eb gabim.<\/span><\/em><\/p><\/div>\n Duke folur n\u00eb em\u00ebr t\u00eb Prime dhe Reddy, z\u00ebvend\u00ebspresidentja e komunikimit e Prime, Elizabeth Nikels tha n\u00eb nj\u00eb deklarat\u00eb me shkrim se marr\u00ebveshjet e 2018 dhe 2019 ishin rezultat i konfuzionit t\u00eb faturimit midis stafit t\u00eb spitalit. <\/span><\/p>\n Ai konfuzion, tha ajo, u p\u00ebrkeq\u00ebsua nga rregullat e paqarta t\u00eb Medicare n\u00eb at\u00eb koh\u00eb. Marr\u00ebveshjet \u2018nuk kishin t\u00eb b\u00ebnin me kujdesin ndaj pacient\u00ebve dhe u fut\u00ebn p\u00ebr t\u00eb siguruar q\u00eb Prime Healthcare mund t\u00eb p\u00ebrqendrohej n\u00eb misionin e saj p\u00ebr t\u00eb shp\u00ebtuar dhe transformuar spitalet p\u00ebr komunitetet n\u00eb t\u00eb gjith\u00eb vendin\u2019, thuhet n\u00eb deklarat\u00eb.<\/span><\/p>\n Prime dhe Reddy arrit\u00ebn nj\u00eb marr\u00ebveshje p\u00ebr her\u00eb t\u00eb tret\u00eb n\u00eb 2021.<\/span><\/p>\n Prokuror\u00ebt akuzuan Prime se ka paguar trefishin e vler\u00ebs s\u00eb tregut p\u00ebr t\u00eb bler\u00eb praktik\u00ebn me baz\u00eb n\u00eb Victorville, Kaliforni t\u00eb kardiologes Siva Arunasalam, e cila konsiderohet nj\u00eb ryshfet nga ligji federal. Prokuror\u00ebt pohuan se marr\u00ebveshja, e krijuar p\u00ebr t\u00eb rritur pranimet e pacient\u00ebve n\u00eb nj\u00eb spital Prime, ishte \u2018negociuar n\u00eb m\u00ebnyr\u00eb thelb\u00ebsore\u2019 nga Reddy. <\/span><\/p>\n \u00c7mimi i shitjes nuk u zbulua n\u00eb procesverbalet gjyq\u00ebsore. P\u00ebr m\u00eb tep\u00ebr, Prime \u2018mbikompensoi\u2019 Arunasalam bazuar n\u00eb v\u00ebllimin e referimeve t\u00eb pacient\u00ebve, sipas pretendimeve t\u00eb Departamentit t\u00eb Drejt\u00ebsis\u00eb.<\/span><\/p>\n Prime u pajtua p\u00ebr rreth 33.7 milion dollar\u00eb, Reddy pagoi 1.7 milion dollar\u00eb dhe Arunasalam pranoi marr\u00ebveshjen p\u00ebr 2 milion dollar\u00eb, t\u00eb depozituara n\u00eb nj\u00eb fond t\u00eb p\u00ebrgjithsh\u00ebm t\u00eb Departamentit t\u00eb Thesarit, sipas t\u00eb dh\u00ebnave t\u00eb gjykat\u00ebs. Nikels, z\u00ebdh\u00ebn\u00ebsja e Prime, tha n\u00eb deklarat\u00ebn e saj se kompania kund\u00ebrshton pretendimin se ka paguar m\u00eb shum\u00eb p\u00ebr praktik\u00ebn e Arunasalem. <\/span><\/p>\n Megjithat\u00eb, Prime iu n\u00ebnshtrua mbik\u00ebqyrjes s\u00eb zgjeruar federale p\u00ebr pes\u00eb vjet si pjes\u00eb e t\u00eb ashtuquajtur\u00ebs marr\u00ebveshje integriteti n\u00eb t\u00eb cil\u00ebn rregullator\u00ebt e qeveris\u00eb mbik\u00ebqyrin faturimet, pranimet e pacient\u00ebve dhe kompensimin e mjek\u00ebve, tha ajo.<\/span><\/p>\n Selia e Prime Healthcare Services Inc n\u00eb Ontario, Kaliforni<\/span><\/em><\/p><\/div>\n As Arunasalam dhe as avokati i tij nuk iu p\u00ebrgjigj\u00ebn k\u00ebrkesave p\u00ebr koment.<\/span><\/p>\n Bordi Mjek\u00ebsor i Kalifornis\u00eb \u00ebsht\u00eb p\u00ebrgjegj\u00ebs p\u00ebr zbatimin e nj\u00eb kodi sjelljeje p\u00ebr mjek\u00ebt q\u00eb ndalon pandershm\u00ebrin\u00eb dhe veprimet joetike q\u00eb p\u00ebrfshijn\u00eb kujdesin ndaj pacientit. Ashtu si bordet n\u00eb shumic\u00ebn e shteteve, organi i Kalifornis\u00eb mund t\u00eb plot\u00ebsoj\u00eb disiplin\u00ebn privatisht ose n\u00ebp\u00ebrmjet veprimeve q\u00eb do t\u00eb lejonin publikun t\u00eb m\u00ebsonte p\u00ebr historin\u00eb disiplinore t\u00eb nj\u00eb mjeku.<\/span><\/p>\n T\u00eb dh\u00ebnat e disponueshme publikisht t\u00eb bordit t\u00eb Kalifornis\u00eb nuk tregojn\u00eb asnj\u00eb hetim apo disiplin\u00eb t\u00eb Reddy bazuar n\u00eb pretendimet e lidhura me tre marr\u00ebveshjet. T\u00eb dh\u00ebnat e tjera shtet\u00ebrore tregojn\u00eb se Reddy nuk e rinovoi regjistrimin e licenc\u00ebs mjek\u00ebsore n\u00eb 2018, duke e b\u00ebr\u00eb at\u00eb t\u00eb pap\u00ebrshtatsh\u00ebm p\u00ebr t\u00eb ushtruar mjek\u00ebsi n\u00eb Kaliforni. Ai mbetet CEO i Prime, nj\u00eb rol q\u00eb nuk k\u00ebrkon licenc\u00eb mjek\u00ebsore.<\/span><\/p>\n T\u00eb dh\u00ebnat publike tregojn\u00eb gjithashtu se Arunasalam nuk u p\u00ebrball me asnj\u00eb veprim nga bordi. Ai mbetet i licencuar pa asnj\u00eb kufizim.<\/span><\/p>\n Bordi mjek\u00ebsor i Kalifornis\u00eb nuk iu p\u00ebrgjigj k\u00ebrkesave p\u00ebr koment.<\/span><\/p>\n Nj\u00eb dhom\u00eb kontrolli n\u00eb ish-klinik\u00ebn e Manhatanit t\u00eb Dr. Feng Qin. Kirurgu i pagoi qeveris\u00eb s\u00eb SHBA gati 1 milion dollar\u00eb si pjes\u00eb e marr\u00ebveshjeve civile p\u00ebr t\u00eb zgjidhur akuzat se ai i faturoi Medicare p\u00ebr procedura t\u00eb panevojshme. Ai nuk pranoi se kishte b\u00ebr\u00eb ndonj\u00eb gabim<\/span><\/em><\/p><\/div>\n Nj\u00eb ‘rezultat i mrekulluesh\u00ebm’<\/strong><\/span><\/p>\n Pjesa e v\u00ebshtir\u00eb e t\u00eb qenit nj\u00eb sinjalizues sekret \u00ebsht\u00eb t\u00eb paraqitesh n\u00eb pun\u00eb \u00e7do dit\u00eb dhe t\u00eb pretendosh se asgj\u00eb nuk \u00ebsht\u00eb e gabuar, tha Mark Favors, infermieri i regjistruar q\u00eb pretendoi se pun\u00ebdh\u00ebn\u00ebsi i tij n\u00eb Nju Jork Dr. Feng Qin kishte kryer procedura t\u00eb panevojshme kardiake mbi emigrant\u00ebt e moshuar. Akuzat e Favors \u00e7uan n\u00eb zgjidhjen civile t\u00eb Qin prej 800,000 dollar\u00ebsh n\u00eb 2021.<\/span><\/p>\n “Doja t\u00eb paralajm\u00ebroja pacient\u00ebt p\u00ebr at\u00eb q\u00eb dija,”<\/em> tha ai.<\/span><\/p>\n “Un\u00eb pash\u00eb pacient\u00ebt q\u00eb vuanin nd\u00ebrlikime sh\u00ebndet\u00ebsore, disa duhej t\u00eb d\u00ebrgoheshin me urgjenc\u00eb n\u00eb dhom\u00ebn e urgjenc\u00ebs, por u betova p\u00ebr fsheht\u00ebsi nga hetuesit federal\u00eb.”<\/em><\/span><\/p>\n Nj\u00eb ish-infermier i ushtris\u00eb amerikane, Favors tha se nuk e dinte q\u00eb Qin ishte n\u00ebn hetim federal kur u pun\u00ebsua n\u00eb vitin 2012 p\u00ebr t\u00eb ndihmuar n\u00eb menaxhimin e klinik\u00ebs private t\u00eb mjekut pran\u00eb \u2018China To\u00ebn\u2019. Ai as nuk ishte n\u00eb dijeni t\u00eb marr\u00ebveshjes civile t\u00eb Qin n\u00eb 2015 derisa nj\u00eb p\u00ebrfaq\u00ebsues i nj\u00eb kompanie farmaceutike i tha atij p\u00ebr nj\u00eb p\u00ebrmendje t\u00eb shkurt\u00ebr t\u00eb saj n\u00eb nj\u00eb botim t\u00eb kujdesit sh\u00ebndet\u00ebsor.<\/span><\/p>\n Infermieri me baz\u00eb n\u00eb New York, Mark Favors, u dha prova prokuror\u00ebve federal\u00eb q\u00eb \u00e7uan n\u00eb padin\u00eb p\u00ebr mashtrim n\u00eb vitin 2018 t\u00eb kardiokirurgut t\u00eb Manhatanit, Dr. Feng Qin. Ky kall\u00ebzim penal m\u00eb von\u00eb u rr\u00ebzua n\u00eb favor t\u00eb marr\u00ebveshjes civile<\/span><\/em><\/p><\/div>\n Favors e p\u00ebrshkroi at\u00eb zbules\u00eb si nj\u00eb moment ndri\u00e7immi. Ai e kishte par\u00eb prej koh\u00ebsh si t\u00eb \u00e7uditshme q\u00eb Qin paguante shpenzimet e transportit p\u00ebr pacient\u00ebt e tij. Ishte nj\u00eb kap\u00ebrdisje e pazakont\u00eb duke pasur parasysh q\u00eb disa jetonin m\u00eb shum\u00eb se 20 milje larg dhe mb\u00ebrrinin me limuzin\u00eb ose Uber.<\/span><\/p>\n Ai tha se filloi t’i kushtonte v\u00ebmendje qasjes s\u00eb mjekut ndaj trajtimit p\u00ebr t\u00eb par\u00eb n\u00ebse Qin po e respektonte paktin e tij me qeverin\u00eb.<\/span><\/p>\n![\"\"](\"https:\/\/www.hashtag.al\/wp-content\/uploads\/2023\/05\/mjeke1.jpg\")
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