Prem Reddy
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Prem N. Reddy (born 1948 in India) is a
cardiologist Cardiology () is a branch of medicine that deals with disorders of the heart and the cardiovascular system. The field includes medical diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular ...
and an owner of
Prime Healthcare Services Prime Healthcare Services is a United States privately held healthcare company. It was established in 2001, by chairman and CEO Prem Reddy, MD, and operates 45 hospitals in 14 states. It is affiliated with the nonprofit Prime Healthcare Foundation ...
, Inc., which owns 45 hospitals.


Life and career

Reddy was born in a rural village called Niduguntapalem, Nellore district in southern
India India, officially the Republic of India (Hindi: ), is a country in South Asia. It is the seventh-largest country by area, the second-most populous country, and the most populous democracy in the world. Bounded by the Indian Ocean on the so ...
. 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 Cardiology () is a branch of medicine that deals with disorders of the heart and the cardiovascular system. The field includes medical diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular h ...
. He is a Fellow of the
American College of Cardiology The American College of Cardiology (ACC), based in Washington, D.C., is a nonprofit medical association established in 1949. It bestows credentials upon cardiovascular specialists who meet its qualifications. Education is a core component of the ...
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 Angioplasty, is also known as balloon angioplasty and percutaneous transluminal angioplasty (PTA), is a minimally invasive endovascular procedure used to widen narrowed or obstructed arteries or veins, typically to treat arterial atheroscle ...
, and permanent pacemaker implantations). Reddy is no longer licensed to practice medicine in California.


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. 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.

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, clinical and financial - that affect patients as well as the quality of care in the community." 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.


Charity

Reddy and his family have established th
Prem Reddy Family Foundation
which has supported a number of efforts, including th
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 Western University of Health Sciences (WesternU) is a private medical school and health sciences university with its main campus in Pomona, California, with an additional osteopathic medical school in Lebanon, Oregon. With an enrollment of 3,8 ...
.


Controversy

On 8 July 2007, the ''
Los Angeles Times The ''Los Angeles Times'' (abbreviated as ''LA Times'') is a daily newspaper that started publishing in Los Angeles in 1881. Based in the LA-adjacent suburb of El Segundo since 2018, it is the sixth-largest newspaper by circulation in the U ...
'' ran a news story that alleged that the policies of Prime HealthCare Services, Inc. resulted in higher than average profits at the possible cost of patient care. According to the ''Times'' story, "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 as chemotherapy treatments, mental health care and birthing 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." 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. Prime Healthcare Services is understood by the
United States Department of Health and Human Services The United States Department of Health and Human Services (HHS) is a cabinet-level executive branch department of the U.S. federal government created to protect the health of all Americans and providing essential human services. Its motto is ...
and the California Department of Justice about concerns over a reported spike in
sepsis Sepsis, formerly known as septicemia (septicaemia in British English) or blood poisoning, is a life-threatening condition that arises when the body's response to infection causes injury to its own tissues and organs. This initial stage is follo ...
. The investigation centers around whether the spike in sepsis represents a large public health issue or potential
Medicare fraud In the United States, Medicare fraud is the claiming of Medicare health care reimbursement to which the claimant is not entitled. There are many different types of Medicare fraud, all of which have the same goal: to collect money from the Medicare ...
. Six Prime hospitals ranked in the 99th percentile of U.S. hospitals for sepsis and five were in the 95th percentile. Prem Reddy was personally liable in a negotiated settlement regarding False Claims at 14 Prime Hospitals. Out of the $65 million settlement, he had to pay $3.25 million. 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.


References


External links


Personal websitePrime Healthcare
{{DEFAULTSORT:Reddy, Prem 1948 births Living people American health care businesspeople Prime Healthcare Services Health fraud Fraud in the United States Medical controversies in the United States Sri Venkateswara University alumni Fellows of the American College of Cardiology