North Texas Hospital CEO Pleads Guilty to Millions in Fraud

Former Palo Pinto General Hospital CEO Harris Brooks pleaded guilty to defrauding BlueCross BlueShield of Texas, CIGNA Texas, and United Healthcare for millions of dollars, according to U.S. Attorney for the Northern District of Texas Erin Nealy Cox. An FBI investigation revealed that Brooks and his co-conspirators used the hospital’s in-network contracts with the insurance companies to defraud them for laboratory services from September 2017 to June 2018. They used a process called pass-through billing, where a physician orders a service but that physician does not actually complete the service for which he or she billed. They submitted claims for allergy… Full Story

Methodist Mansfield Medical Center Will Have a New President

Juan Fresquez will be the new President of Methodist Mansfield Medical Center. Fresquez began his career at Parkland Hospital in Dallas before his most recent position as Chief Operating Officer of the Arizona Group – Carondelet St. Joseph’s Hospital. He has been in acute care hospital management for 28 years. “Fresquez is an outstanding leader with a proven track record in operational excellence,” said Pam Stoyanoff, executive vice president and COO of Methodist Health System via release. “His background and experience will be a perfect complement to the Methodist Mansfield culture and our mission to improve and save lives in our… Full Story

First Look: Baylor Scott and White’s Neuro Transitional Rehabilitation Facility

When a patient experiences brain trauma, their path often takes them to the emergency room, possibly to neurotrauma surgery, and they recover in acute inpatient rehab before they head home. But often times, the jump from inpatient facility to the home can be a bumpy one for patients with neurological trauma. Baylor Scott and White’s Neuro Transitional Rehabilitation Facility, which had its grand opening last week, hopes to smooth the transition. The nine bed, 7,000-sqaure-foot facility allows each patient to have their own suite, and provides a domestic environment where they use a kitchen to prepare food, clean up and… Full Story

Forest Park Founder Says They “Didn’t Hide Expectations” for $40 Million in Kickbacks

Forest Park Medical Center co-founder Wade Barker testified that the organization “didn’t hide expectations” from doctors and staff that the $40 million they received was for steering surgeries to the hospital, according to Law 360. Barker, a bariatric surgeon who pleaded guilty last fall, said that the payments were to get surgeons to operate at their facility, and that he knew what he was doing was illegal. Law 360 reports that Barker will be sentenced to 60-77 months in federal prison for the kickback scheme. Barker was the seventh of the 21 indicted individuals to plead guilty to being a part… Full Story

Why the Canceled Baylor-Memorial Merger Might Be Good For Hospital Quality and Cost

When Baylor Scott and White and Memorial Hermann announced a now-canceled merger in October, leaders on both sides of the deal spoke about how the increased scale would improve efficiency while sharing of best practices would improve the quality of care. Promises of lower prices and improved care make the merger look like a no-brainer, but numerous studies call these claims into question. A New York Times article details research that shows how a concentrated and less competitive healthcare market results in worse care for patients, especially those whose health insurance is paid for by the government. The merger would… Full Story

Medical City McKinney’s $55 Million Expansion

Medical City McKinney will add a $55 million expansion that includes new patient building and an expanded emergency department. The project will include a two-story facility that may be expanded, 11 private emergency treatment rooms that include two new trauma rooms, 36 private inpatient rooms, and expanded imaging services. The expansion will be built concurrently with the $52 million behavioral health and rehabilitation pavilion that is currently underway. The pavilion will include 20 inpatient rehabilitation rooms, 80 adult and geriatric behavioral health patient rooms, and services at the Wysong campus will be moved to the main campus. The projects are… Full Story

Texas Health HEB Wins Hospital Association Award for Reducing Infections

The labor, delivery and OB/GYN team at Texas Health Harris Methodist HEB Hospital have won the Texas Hospital Association’s Bill Aston Award for Quality for their work preventing infections after C-sections in a non-research and non-teaching hospital, Team manager Carol Wolf hoped to bring the number of surgical site infections at the hospital to less than one percent, and found a different way to dress surgical sites of patients who were more susceptible to infections. “This is really close to my heart because I feel that I’ve contributed to improved quality outcomes for women having Cesarean sections,” Wolf said via release. Wolf… Full Story

Medical City Plano and Frisco Name Chief Medical Officer

Medical City Plano and Medical City Frisco have named Dr. Parikshet Babber to be the new chief medical officer. He arrives after serving as the executive vice president and chief medical officer of Harris Health System in Houston. While in Houstin, Babber managed a $30 million budget and 268 employees, while overseeing quality, accreditation, utilization, patient safety, coding, health information management and medical staff services.  Previously, he was an emergency room physician in the VA Medical Center in Houston and MD Anderson Cancer Center. “We are delighted to welcome Dr. Babber to our hospitals’ leadership team and to our community,”… Full Story

Two Local Hospitals Named to IBM Watson Health’s Top 100

Since 1993, IBM Watson Health has published an annual study spotlighting the 100 best performing hospitals, and has named Baylor Scott & White Medical Center – Grapevine and Texas Health Harris Methodist Hospital Southwest Fort Worth to the list.  The study looks at publicly available data for clinical, operational, and patient satisfaction metrics. IBM found that the hospitals on its list had better risk-adjusted outcomes while maintaining a lower average cost per patient and a higher profit margin than other hospitals in the study. Winning hospitals had a 24.9 percent higher survival rate, 18.7 fewer complications, 19.3 percent healthcare associated infections, with hospital stays… Full Story

The Trouble with Calculating Hospital Revenue

Last week, we ran a story about hospital profits in Dallas based on Allan Baumgarten’s Texas Health Market Review, and it caused a bit of a stir. Baylor Scott and White Health said that the data, which was created from surveys from the American Hospital Association and Texas Health and Human Services information, was incorrect and that we had made an error. The DFW Hospital Council had questions about the figures as well. Updates were posted, and discrepancies between what Baylor said was its profit margin and what was in the review were somewhat explained, but it highlighted just how… Full Story