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      "text": "Bypassing OPTN allocation is “flat-out illegal”; discounts for organ procurement cost are an inducement",
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      "text": "He stated that it likely also constitutes an inducement, a separate problem for TransMedics beyond the Anti-Kickback Statute. The OIG and DOJ actively prosecute violations of the Beneficiary Inducement Statute which prohibits discounts, freebies, and items or services offered below fair market value. When the first center on the match list declines an organ, the administrator questioned if the centers that TransMedics allagedly shops the organ to are paying the full cost of the NOP procurement and transport, leaving aside the device cost - if not, as suspected, the discount or freebie would be an inducement: “they get a dry run 50% discount...what happens with the actual cost related to sending the organ back over to me? If that’s zero, then even at a discount, to be quite frank, that is an inducement.”",
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      "text": "A: “Bypassing that, that’s just not only anti-kickback, that’s going against the whole OPTN rule. So, that’s one thing. OPTN. How you allocate organs. It would just be like me turning down the organ and saying hey, by the way, I’m going to call my buddy across the street to see if he wants it...that’s just flat-out illegal. The second question I asked is whoever received that second call, are they not paying for the organ? That would be an inducement to me because here you are, that primary transplant program that was supposed to receive the initial organ that turned down the organ, they get a dry run 50% discount. Whereas either I get the organ for not free because I still have to buy the organ, the organ acquisition cost. But what happens with the actual cost related to sending the organ back over to me? If that’s zero, then even at a discount, to be quite frank, that is an inducement.” Q: “I see. So, you’re saying if there’s a scramble to place an organ somewhere, and whoever agrees to take it gets a discount or doesn’t have to pay the cost of organ procurement, they just pay for OCS or whatever, you’re saying that’s an inducement?” A: “Yeah. Take OCS out of it. Let’s go back on the match run. Okay, let’s go all the way down. Okay, I want to take it. I’m fifth in line. And then we the organ gets sent over to us. Because I’m not going to send an entire team out, right? But that procurement team is going to come over to my center. I still have to pay for that.” – Veteran transplant administrator/executive at Massachusetts General Hospital",
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      "text": "“Bypassing that, that’s just not only anti-kickback, that’s going against the whole OPTN rule...that’s just flat-out illegal.” — Veteran transplant administrator/executive at Massachusetts General Hospital",
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      "text": "Source: Scorpion Capital consultation calls with experts",
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