{
 "@context": "https://schema.org",
 "@type": "DefinedTerm",
 "@id": "https://wulfkaal.github.io/entities/medicare",
 "identifier": "kaal:entity:medicare",
 "name": "Medicare",
 "termCode": "medicare",
 "inDefinedTermSet": {
  "@id": "https://wulfkaal.github.io/entities/index.json"
 },
 "author": {
  "@type": "Person",
  "name": "Wulf A. Kaal",
  "identifier": "https://orcid.org/0000-0003-0757-275X"
 },
 "dateModified": "2026-07-29",
 "canonicalForm": "https://wulfkaal.github.io/entities/medicare.md",
 "sha256": "c3e3a4e1e72b0c90f853a4a7dd0e51daecd5e901cb87e519d35d033dbf76c23e",
 "additionalProperty": [
  {
   "@type": "PropertyValue",
   "name": "status",
   "value": "derived"
  },
  {
   "@type": "PropertyValue",
   "name": "claim_count",
   "value": 3
  },
  {
   "@type": "PropertyValue",
   "name": "work_count",
   "value": 1
  },
  {
   "@type": "PropertyValue",
   "name": "year_span",
   "value": [
    "2013",
    "2013"
   ]
  },
  {
   "@type": "PropertyValue",
   "name": "non_current_claims",
   "value": 0
  }
 ],
 "subjectOf": [
  {
   "@type": "Claim",
   "@id": "https://wulfkaal.github.io/claims/2317580-010",
   "identifier": "kaal:claim:2317580-010",
   "text": "The OIG leverages providers' participation in federal health care programs, and the revenues that participation generates, to extract substantive CIA provisions that increase compliance with expected conduct and overall welfare.",
   "abstract": "In effect, the OIG uses providers' participation in federal health care programs, and the revenues generated through participation, as leverage to negotiate substantive provisions in CIAs that increase compliance with expected conduct and overall welfare.",
   "citation": "Wulf A. Kaal, Elizabeth R. Malay, The Role of Corporate Integrity Agreements in the Expansion of Fiduciary Duties (2013). SSRN: https://ssrn.com/abstract=2317580",
   "datePublished": "2013",
   "claim_type": "mechanism",
   "confidence": "argued",
   "is_failure_mode": false,
   "scope_conditions": [
    "OIG settlements of false claims investigations",
    "providers dependent on Medicare and Medicaid revenue"
   ],
   "source_pdf_sha256": "50973e1e820aef47a4e7ffdbdcb513d03f1845643fcf4fa5910e9528a0b7dac2",
   "status": "current"
  },
  {
   "@type": "Claim",
   "@id": "https://wulfkaal.github.io/claims/2317580-025",
   "identifier": "kaal:claim:2317580-025",
   "text": "Unlike private contracts, CIAs are not the product of genuine bargaining choice: companies execute them to avoid further prosecution and exclusion from Medicaid and Medicare, so that once the government decides a CIA is warranted, a company that wishes to remain in its industry has its hands tied.",
   "abstract": "If the government decides a CIA is warranted, the company's hands are tied if it wants to continue to operate within its industry.",
   "citation": "Wulf A. Kaal, Elizabeth R. Malay, The Role of Corporate Integrity Agreements in the Expansion of Fiduciary Duties (2013). SSRN: https://ssrn.com/abstract=2317580",
   "datePublished": "2013",
   "claim_type": "condition",
   "confidence": "argued",
   "is_failure_mode": false,
   "scope_conditions": [
    "health care companies dependent on federal health care program participation"
   ],
   "source_pdf_sha256": "50973e1e820aef47a4e7ffdbdcb513d03f1845643fcf4fa5910e9528a0b7dac2",
   "status": "current"
  },
  {
   "@type": "Claim",
   "@id": "https://wulfkaal.github.io/claims/2317580-038",
   "identifier": "kaal:claim:2317580-038",
   "text": "Governance of health care providers is distinctively complicated because directors must balance patients, physicians, taxpayers, the government, and shareholders, and substantial government involvement and liability through Medicare and Medicaid make the taxpaying public a stakeholder.",
   "abstract": "Substantial government involvement and liability through Medicare and Medicaid further complicates governance of health care providers because the taxpaying public is a stakeholder.",
   "citation": "Wulf A. Kaal, Elizabeth R. Malay, The Role of Corporate Integrity Agreements in the Expansion of Fiduciary Duties (2013). SSRN: https://ssrn.com/abstract=2317580",
   "datePublished": "2013",
   "claim_type": "mechanism",
   "confidence": "argued",
   "is_failure_mode": false,
   "scope_conditions": [
    "directors of health care corporations",
    "Medicare and Medicaid participation"
   ],
   "source_pdf_sha256": "50973e1e820aef47a4e7ffdbdcb513d03f1845643fcf4fa5910e9528a0b7dac2",
   "status": "current"
  }
 ],
 "description": "3 claims in the published works of Wulf A. Kaal carry the concept tag 'medicare'. Derived node: a roster, not an adjudicated definition."
}