KevinMD October 19, 2024
As health care predictive algorithms, including the Prescription Drug Monitoring Programs (PDMP), expand their reach beyond traditional enforcement of health care regulations, the concept of a social credit score has emerged as a powerful but controversial tool. Like predictive policing, social credit scores use an individual’s behaviors, online activity, and social interactions to assess their perceived trustworthiness and risk to society and are used as fodder for the prosecution of health care providers.
A notable example involved Dr. Muhamad Aly Rifai, whose case was highlighted in a November 14, 2022, DOJ press release. The DOJ’s claims focused on Medicare fraud allegations, casting Dr. Rifai as a significant figure in health care fraud. Such public statements can have lasting impacts on...
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