HMA corporation got in trouble last year for precisely this kind of ****. They were the subject of a 60 Minutes exposé. They are no longer in existence having been purchased by CHS, who also inherited all of their regulatory problems.
Bottom line, this will not be as much of an issue provided people are still willing to blow the whistle. These business jocks can crow all they want. When it's their mom, daughter, wife, sister suddenly in need of care, it's amazing how their tune changes.