At monitoring hospital quality, that is. From the Dallas Morning News:
It took regulators more than four years to rein in Mahmood. Before they acted, he allegedly submitted more than $1 million in fraudulent billings to the government, and substandard care at his chain of small-town Texas hospitals led to multiple patient deaths.
Warnings reached multiple levels of government, including criminal investigative units and taxing entities. But agencies were slow to take action and often didn’t share information. It wasn’t until this year that they began to crack down on Mahmood.
Top health regulators weren’t even aware Mahmood owned several hospitals until The News sought information about them earlier this year. Regulatory agencies aren’t set up to track problem hospital owners or hold them accountable. Nor do they look for patterns of care breakdowns inside hospital chains.