Key legal issue, concepts, and relevant key fact for each co…
Key legal issue, concepts, and relevant key fact for each concept, for Scenario A (Beginning in 2015, senior management at Scrubs Health System embarked on a scheme to recruit physicians for employment for the purpose of capturing their lucrative “downstream referrals.” Scrubs successfully recruited hundreds of local physicians, including cardiovascular specialists, neurosurgeons, and breast surgeons, by paying them salaries that were significantly higher – sometimes as much as double – than what they were receiving in their own private practices. Scrubs hired a valuation firm to analyze the compensation it proposed paying to its recruited specialists. Scrubs knowingly provided the firm with false compensation figures so that the firm would render a favorable opinion. The Complaint further alleged that Scrubs ignored repeated warnings from the valuation firm regarding the legal perils of overcompensating its physicians. Scrubs then submitted claims to Medicare for services that resulted from referrals from these recruited physicians.) Identify the most important health law issue, the key requirements / legal concepts for the most important issue as represented here, and a key fact related to each legal concept.