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Line 1: {{Short description\|Indian-American cardiologist and businessman}} {{Use dmy dates\|date=June 2019}} {{Use Indian English\|date=June 2019}} '''Prem N. Reddy''' (born ~~June~~1 ~~1st,~~June 1948 in India) is a [[cardiologist]] and an owner of [[Prime Healthcare Services]], Inc., which owns 45 hospitals. == Life and career == Reddy was born in a rural village called ~~Niduguntapalem,~~Baddevolu village and grew up in Nidiguntapalem village [[Nellore district]] in southern [[India]]. He graduated from [[Sri Venkateswara University]] Medical College in 1973. In 1976 Reddy and his wife immigrated to the United States. Reddy, who holds an MD, FACC, and FCCP, is a board-certified physician in [[internal medicine]] and [[cardiology]]. He is a Fellow of the [[American College of Cardiology]] and the [[American College of Chest Physicians]]. During two decades of practice, Reddy performed more than 5,000 cardiac procedures (such as [[coronary angiography]] and [[angioplasty]], and permanent [[pacemaker]] implantations).<ref>[http://www.hvk.org/articles/0503/165.html My Life Shows American Dream Is Achievable] {{webarchive\|url=https://web.archive.org/web/20070809034925/http://www.hvk.org/articles/0503/165.html#top \|date=2007-08-09 }}, ''[[India Tribune]]'', 17 May 2003.</ref> Reddy is no longer licensed to practice medicine in California.<ref>{{cite web \|title=Medical Board of California: License A36292 \|url=https://search.dca.ca.gov/details/8002/A/36292/f8dab6d8b4588461630e44886c43f42e \|website=Department of Consumer Affairs Search \|accessdate=11 September 2018}}</ref> === Healthcare management and entrepreneurship === In the early 1980s, Reddy founded Desert Valley Medical Group in Victorville, CA and established Primecare Medical Group in 1992. He also founded PrimeRx, with 250,000 managed care patients, generating over $500  million in revenues a headquartered in Las Vegas, Nevada. He established [[Desert Valley Hospital]] in 1994 which today stands as the flagship hospital in the California healthcare system known as Prime Healthcare Services. Desert Valley Hospital has been recognized as a Top 100 Hospital in the Nation on numerous occasions.<ref>[http://www.vvdailypress.com/news/hospital-453-reddy-hospitals.html Desert Valley Hospital recognized again, hospital, reddy, hospitals - Local News - Victorville Daily Press<!-- Bot generated title -->] {{webarchive\|url=https://web.archive.org/web/20120325125829/http://www.vvdailypress.com/news/hospital-453-reddy-hospitals.html \|date=2012-03-25 }}</ref> In 2013 eight Prime Healthcare Hospitals were named in the "Top 100 Hospitals in the Nation" by Truven, formerly Thomson Reuters. In 2021, several hospitals were named in the "Top 100 Hospitals in the Nation." [https://www.beckershospitalreview.com/rankings-and-ratings/top-100-hospitals-for-2021-named-by-fortune-ibm-watson.html] Hospitals that receive these awards are noted for their high clinical standards, "that achieve the highest national scores based on 14 separate measures of hospital ~~performance - operational~~performance—operational, clinical and ~~financial - that~~financial—that affect patients as well as the quality of care in the community."<ref>{{cite web\|url=http://www.modernhealthcare.com/section/100tophosp \|title=100 Top Hospitals from Truven Health Analytics \|publisher=Modern Healthcare \|date=2012-02-06 \|accessdate=2013-08-13}}</ref> Prime Healthcare Services was recognized as a "Top 15 Health System" in 2013, the third time they have been on the list in five years.<ref>{{cite web\|url=http://www.utsandiego.com/news/2013/apr/18/tp-operator-of-two-local-hospitals-rates-highly/ \|title=Operator Of Two Local Hospitals Rates Highly \|publisher=UTSanDiego.com \|date=2013-04-17 \|accessdate=2013-08-13}}</ref> === Charity === Reddy and his family have established the [https://www.premreddy.com/Dr. Prem Reddy Family Foundation], which has supported a number of efforts, including the [~~https://www.cusm.org/~~ [California University of Science and Medicine]], the Dr. Prem Reddy Nursing Laboratory at CSUSB, and the Dr. Prem Reddy Lecture Hall at [[Western University of Health Sciences]].<ref>{{cite web \|url=https://www.premreddy.com/ \|website=Dr. Prem Reddy Family Foundation \|accessdate=3 September 2018\|title=Dr. Prem Reddy \| Prime Healthcare \| Southern California}}</ref> Dr. Prem Reddy, MD, founded the [[California University of Science and Medicine]] (CUSM) in 2015 to address physician shortages and support underserved communities, graduating its first class in 2022 and expanding significantly since.<ref>{{cite web\|title=Prime CEO's med school vision reaches milestone\|url=https://www.beckershospitalreview.com/hospital-physician-relationships/prime-ceos-med-school-vision-reaches-milestone.html/ \|access-date=24 June 2024 \|work=Beckers Hospital Review}}</ref> ==Controversy== On 8 July 2007, the ''[[Los Angeles Times]]'' ran a news story that alleged that the policies of [[Prime Healthcare Services\|Prime HealthCare Services]], Inc. resulted in higher than average profits at the possible cost of patient care. According to the ''Times'' story,<ref "name=costello /><blockquote>When Reddy's company, Prime Healthcare Services Inc., takes over a hospital, it typically cancels insurance contracts, allowing the hospital to collect steeply higher reimbursements. It has suspended ~~services — such~~services—such as chemotherapy treatments, mental health care and birthing ~~centers — that~~centers—that patients need but aren't lucrative.... On four occasions since 2002, inspectors have found that Prime Healthcare facilities failed to meet minimum federal safety standards, placing their Medicare funding at risk."</blockquote>In 2005, two former nurses at Desert Valley Hospital won a lawsuit in which they claimed they were improperly fired after they accused hospital management of providing inadequate care to save money and Reddy of repeatedly reporting to work while under the influence of alcohol. In February 1999, Reddy was arrested for allegedly attacking Harry Lifschutz at Desert Valley Medical Group. Reddy jumped over a desk in the doctor's waiting room and allegedly attempted to choke him and take a laptop from Lifschutz's office.<ref name=costello>{{Cite web \|url=http://articles.latimes.com/2007/jul/08/business/fi-reddy8/8 \|title=Hospital group rejects system and cashes in \|website=[[Los Angeles Times]] \|access-date=27 February 2011 \|archive-url=https://archive.today/20120707220651/http://articles.latimes.com/2007/jul/08/business/fi-reddy8/8 \|archive-date=7 July 2012 \|url-status=dead }}</ref> Prime Healthcare Services iswas ~~understood~~investigated by the [[United States Department of Health and Human Services]] and the [[California Department of Justice]] about concerns over a reported spike in [[sepsis]]. The investigation centers around whether the spike in sepsis represents a large public health issue or potential [[Medicare fraud]]. Six Prime hospitals ranked in the 99th percentile of U.S. hospitals for sepsis and five were in the 95th percentile.<ref name = "Sepsis">{{cite journal\|last=William\|first=Lance\|author2=Christina Jewett\|title=Hospital chain's high infection rate leads to fraudulent billing concerns\|journal=California Watch\|date=11 October 2010\|url=http://californiawatch.org/health-and-welfare/hospital-chain-s-high-infection-rate-leads-fraudulent-billing-concerns-5647}}</ref>▼ In 2005, two former nurses at Desert Valley Hospital won a lawsuit in which they claimed they were improperly fired after they accused hospital management of providing inadequate care to save money and Reddy of repeatedly reporting to work while under the influence of alcohol. In February 1999, Reddy was arrested for allegedly attacking Harry Lifschutz at Desert Valley Medical Group. Reddy jumped over a desk in the doctor's waiting room and allegedly attempted to choke him and take a laptop from Lifschutz's office.<ref name=costello>{{Cite web \|url=http://articles.latimes.com/2007/jul/08/business/fi-reddy8/8 \|title=Hospital group rejects system and cashes in \|access-date=27 February 2011 \|archive-url=https://archive.today/20120707220651/http://articles.latimes.com/2007/jul/08/business/fi-reddy8/8 \|archive-date=7 July 2012 \|url-status=dead }}</ref> Prem Reddy was personally liable in a negotiated settlement regarding False Claims at 14 Prime Hospitals.<ref name="fca">{{cite web\|url=https://www.justice.gov/opa/pr/prime-healthcare-services-and-ceo-pay-65-million-settle-false-claims-act-allegations\|date=3 August 2018\|work=U.S. Dept. of Justice\|access-date=29 August 2018\|title=Prime Healthcare Services and CEO to Pay $65 Million to Settle False Claims Act Allegations}}</ref> Out of the $65  million settlement, he had to pay $3.25  million.<ref name="fca" />▼ ▲Prime Healthcare Services is understood by the [[United States Department of Health and Human Services]] and the [[California Department of Justice]] about concerns over a reported spike in [[sepsis]]. The investigation centers around whether the spike in sepsis represents a large public health issue or potential [[Medicare fraud]]. Six Prime hospitals ranked in the 99th percentile of U.S. hospitals for sepsis and five were in the 95th percentile.<ref name = "Sepsis">{{cite journal\|last=William\|first=Lance\|author2=Christina Jewett\|title=Hospital chain's high infection rate leads to fraudulent billing concerns\|journal=California Watch\|date=11 October 2010\|url=http://californiawatch.org/health-and-welfare/hospital-chain-s-high-infection-rate-leads-fraudulent-billing-concerns-5647}}</ref> In July 2021 US Department of Justice ~~announce~~announced another settlement with Prime Health Care and Prem Reddy concerning kickbacks, overcharging for medical implants, and billing for a non-eligible provider by using another provider's billing identity. The violations directly implicated Dr. Reddy in the kickbacks~~. Dr~~. Reddy paid $1,775,000; and Prime paid $33,725,000.<ref>{{cite web \|title=Prime Healthcare Services and Two Doctors Agree to Pay $37.5 Million to Settle Allegations of Kickbacks, Billing for a Suspended Doctor, and False Claims for Implantable Medical Hardware \|url=https://www.justice.gov/opa/pr/prime-healthcare-services-and-two-doctors-agree-pay-375-million-settle-allegations-kickbacks \|website=U.S. Department of Justice \|access-date=20 July 2021 \|language=en \|date=19 July 2021 \|archive-date=19 July 2021 \|archive-url=https://web.archive.org/web/20210719213425/https://www.justice.gov/opa/pr/prime-healthcare-services-and-two-doctors-agree-pay-375-million-settle-allegations-kickbacks \|url-status=live }}</ref>▼ ▲Prem Reddy was personally liable in a negotiated settlement regarding False Claims at 14 Prime Hospitals.<ref name="fca">{{cite web\|url=https://www.justice.gov/opa/pr/prime-healthcare-services-and-ceo-pay-65-million-settle-false-claims-act-allegations\|date=3 August 2018\|work=U.S. Dept. of Justice\|access-date=29 August 2018\|title=Prime Healthcare Services and CEO to Pay $65 Million to Settle False Claims Act Allegations}}</ref> Out of the $65 million settlement, he had to pay $3.25 million.<ref name="fca" /> == See also == ▲In July 2021 US Department of Justice announce another settlement with Prime Health Care and Prem Reddy concerning kickbacks, overcharging for medical implants, and billing for a non-eligible provider by using another provider's billing identity. The violations directly implicated Dr. Reddy in the kickbacks. Dr. Reddy paid $1,775,000; and Prime paid $33,725,000.<ref>{{cite web \|title=Prime Healthcare Services and Two Doctors Agree to Pay $37.5 Million to Settle Allegations of Kickbacks, Billing for a Suspended Doctor, and False Claims for Implantable Medical Hardware \|url=https://www.justice.gov/opa/pr/prime-healthcare-services-and-two-doctors-agree-pay-375-million-settle-allegations-kickbacks \|website=U.S. Department of Justice \|access-date=20 July 2021 \|language=en \|date=19 July 2021 \|archive-date=19 July 2021 \|archive-url=https://web.archive.org/web/20210719213425/https://www.justice.gov/opa/pr/prime-healthcare-services-and-two-doctors-agree-pay-375-million-settle-allegations-kickbacks \|url-status=live }}</ref> * [[Prime Healthcare Services]] * [[Kavitha Bhatia]] == References == Line 31 ⟶ 36: ==External links== [~~http~~https://premreddy.com/ Personal website] [~~http~~https://www.primehealthcare.com/ Prime Healthcare] {{authority control}} Line 41 ⟶ 46: [[Category:American health care businesspeople]] [[Category:Prime Healthcare Services]] [[Category:Health fraud people]] [[Category:Fraud in the United States]] [[Category:Medical controversies in the United States]]