| Papers [1-15] of 100 :: [Page 1 of 7] | | Go to page : 1 2 3 4 5 6 7 —> | Search results on "HEALTH CARE FRAUD": |
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Health Care Fraud, 2002.
A look at the phenomenon of health care fraud and what can be done to fight this trend.
758 words (approx. 3.0 pages), 2 sources, MLA, $ 27.95
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Abstract
This research paper discusses health care fraud. It offers three examples of this fraud affecting the health care industry today. It explains that this kind of fraud is on the increase and manifested in several different forms. It discusses what the authorities are doing to combat this phenomenon.
From the Paper
"In the film Wall Street, financier Gordon Gecko proclaims, "Greed is good." It appears that a number of patients, health care providers, and others who handle financial transactions in the U.S. health care system, heartily endorse Gecko's philosophy. For up to $80 billion is stolen each year from taxpayers and insurers. Bolder scams arise all the time, and little is done to stop them. And as America's health-care bill spirals to an estimated $817 billion this year, it is attracting an ever more impudent and wily army of scam professionals. Experts now estimate that fraud and abuse in the health-care field cost somewhere between $50 billion and $80 billion each year?a figure that dwarfs the estimated $5 billion lost through criminal fraud in the entire savings and loan debacle. And of course, consumers and businesses are paying for these health-care rip-offs in higher taxes and skyrocketing insurance premiums (Friedman)."
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Health Care Fraud, 2002.
An essay on how health care fraud affects nursing homes.
900 words (approx. 3.6 pages), 3 sources, $ 35.95
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Abstract
This paper discusses the impact of the Health Care Fraud and Abuse Program on nursing home care in America.
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Fraud in Health Care, 2008.
This paper looks at cases of white-collar crime in the health care industry,
2,229 words (approx. 8.9 pages), 8 sources, APA, $ 69.95
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Abstract
The paper presents five case studies of health care fraud cases and related charges. The paper relates that in order to combat medical and health care fraud, the FBI has identified national initiatives to address frauds in the areas of medical transportation, durable medical equipment, hospital reporting costs, outpatient surgery centers, and pharmaceutical fraud.
Outline:
Introduction
The SEC and Carl Archer
Case studies and Examples
From the Paper
"Individuals at all levels within the health care and occupational industries--from receptionists to CEOS--are involved in health care fraud. Recent cases report that individuals from all areas within medical and health care organizations take advantage of the private information of their patients and clients in attempts to profit. Such crimes often involve additional offenses, including identity theft, tax evasion, corporate fraud, and other charges. Examples of white-collar crime appear in the media on a regular basis in all areas of the country, both rural and urban."
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Health Care and the Government, 2000.
An examination of the economic effects of government intervention in the health care industry. Includes Medicare fraud, patient costs, drug coverage, insurance and reimbursement.
900 words (approx. 3.6 pages), 4 sources, $ 31.95
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Abstract
Health care is a concern for many Americans as the baby boomers age and there is increased demand for medical services. The government regulates much of the health care industry through agencies such as the Food and Drug Administration, and government subsidies (including Medicare) are an integral part of the health care delivery system in the United States.
From the Paper
"Introduction
Health care is a concern for many Americans as the baby boomers age and there is increased demand for medical services. The government regulates much of the health care industry through agencies such as the Food and Drug Administration, and government subsidies (including Medicare) are an integral part of the health care delivery system in the United States. This research considers the economic effect of government intervention in the health care industry and ways in which policy decisions may affect Americans in the future.
Analysis
Medicare is a government health insurance program administered by the federal government which primarily serves elderly recipients of Social Security. The government has chosen to outsource the..."
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Increasing Health Care Costs, 2002.
Looks at possible causes of increasing health care costs.
4,591 words (approx. 18.4 pages), 17 sources, APA, $ 119.95
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Abstract
This paper explores all of the myriad and complex causes of the high cost in today?s health care environment and recommends changes that would be the most likely to positively impact change. Charts and graphs are used to help illustrate important points.
Introduction
Prescription Drugs
Medical Devices and Medical Advances
Rising Provider Expenses
General Inflation
Government Mandates and Regulations
Government Programs and Tax Laws
Increased Consumer Demand
Lack of Consumerism
Litigation and Risk Management
Fraud and Abuse
Managed Care System
Conclusion
From the Paper
"Priority Health also believes that the United States government is at fault for not imposing price controls on pharmaceutical products as do most other industrialized nations, thus leading to drugs costs that are as much as one hundred percent higher in this country. Additionally, the United States government imposes regulations for drug distribution and sales that make drugs less readily available and more expensive than in other countries. Also, government granted patents protect drug for up to seventeen years, limiting competition and driving up prices."
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Tenet Health Care Scandals, 2003.
Discusses claims of fraud on part of the large hospital chain.
900 words (approx. 3.6 pages), 4 sources, $ 31.95
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Abstract
Provides a background of the company and its regional health care delivery networks and examines Medicare insurance fraud, unnecessary operations, kickbacks, and patient abuse at its psychiatric units.
From the Paper
"Tenet Healthcare is one of the largest hospital chains in the United States and it owns or controls 115 acute care hospitals in 16 states and one in Europe. The acute care hospitals serve as cornerstones to vast..."
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Health Insurance Fraud, 2002.
An examination of government efforts to curb Medicare and Medicaid insurance fraud.
7,463 words (approx. 29.9 pages), 21 sources, APA, $ 164.95
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Abstract
This paper critically evaluates the statutes purposely passed to tackle Medicare and Medicaid insurance fraud. It evaluates the fundamentals, penalties, defenses, and safe harbor provisions for each and every statute, and concludes with a discussion of accessible legal safe harbor provisions. It discusses the wide-ranging federal statutes employed to impeach health care fraud, together with the False Claims, False Statements, and Mail and Wire Fraud Acts and explains the basics of the offenses, accessible defenses, and penalties valid under each statute. It also gives an indication of federal and state government agencies' pains to examine and take legal action against health care fraud.
Outline
Introduction
Statutes and Provisions Specifically Enacted to Address Medicare and Medicaid Fraud
Sale of Physician Practices, Practitioner Recruitment and Obstetrical Malpractice Insurance Subsidies
Contracts for Space, Equipment, Personal Services and Employment
Advertisements and Promotions
Referral Services
Relationships Between Providers
Arrangements Between Providers and Health Plans
Relationships Between Providers and Suppliers
Prosecuting Health Care Fraud with General Federal Statutes
Conclusion
From the Paper
"Individuals and organizations licensed by Department of Health and Human Services ("HHS") to accept imbursement under the Social Security Act may focus on Medicare and Medicaid fraud examinations (7). Persons, as well as organizations comprise nursing and rehabilitation centers, hospitals, Health Maintenance Organizations ("HMOs"), intermediate carriers for example private and public clinics, private insurance companies, durable medical equipment ("DME") providers, medical laboratories, physician practice groups, physicians, as well as other certified health care organizations (7)."
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Health Insurance Fraud, 2004.
A look at the growing problem of medicare and medicaid insurance fraud and what can be done to prevent it.
7,463 words (approx. 29.9 pages), 21 sources, MLA, $ 164.95
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Abstract
This paper critically evaluates the statutes purposely passed to tackle medicare and medicaid insurance fraud. It also examines the fundamentals, penalties, defenses, and safe harbor provisions for each and every statute, as well as concludes with a discussion of accessible legal safe harbor provisions. It discusses the wide-ranging federal statutes employed to impeach health care fraud, together with the False Claims, False Statements, and the Mail and Wire Fraud Acts, and explains the basics of the offenses, accessible defenses, and penalties valid under each statute. It also gives an indication of federal and state government agencies' pains to examine and take legal action against health care fraud.
Outline
Introduction
Statutes and Provisions Specifically Enacted to Address Medicare and Medicaid Fraud
Medicaid False Claims Statute
Penalties
Medicaid Anti-Kickback Statute
Sale of Physician Practices, Practitioner Recruitment and Obstetrical Malpractice Insurance Subsidies
Contracts for Space, Equipment, Personal Services and Employment
Advertisements and Promotions
Referral Services
Relationships Between Providers
Arrangements Between Providers and Health Plans
Relationships Between Providers and Suppliers
Prosecuting Health Care Fraud With General Federal Statutes
False Claims Act
False Statements
Mail and Wire Fraud
Conclusion
From the Paper
"An added safe harbor permits health plans with accords with CMS or a state health care program to give care for beneficiaries to augment coverage, decrease cost sharing amounts, or decrease premium amounts for enrollees under particular conditions. If the proposal is a competitive medical plan, health maintenance organization plan, prepaid health plan or any other plan with a contract with CMS or a state health care program, it has got to offer identical augmented coverage or reduced cost-sharing or payments to all Medicare or state health program enrollees unless CMS or the state endorses otherwise."
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Child Center Care Vs. Care by Family, 2007.
This paper discusses child care options and looks at the development of children who attended child care centers compared with those in family care.
3,054 words (approx. 12.2 pages), 12 sources, MLA, $ 89.95
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Abstract
In this article, the writer notes that the question over who should care for children is once again being debated throughout North America, with many advocating that very young children be raised with either their mothers or a close member of the family instead of attending child care centers. The writer discusses research indicating that the poor quality of care given in existing centers throughout the United States is the reason for problems within the classroom, as children who attend these care centers are believed to have both development and social problems. The writer concludes that the important point of the debate over child care should be how to ensure quality care for children whose parents have to work, or have chosen to work, through understanding and enabling effective and positive child development and growth within center-based childcare.
Outline:
Abstract
Introduction
An Overview of Child Care in the United States
Contemporary Childcare in the United States
Towards an Effective Child Care System
Conclusion
From the Paper
"The changes in society over the past few decades have completely transformed the contemporary world, mainly through the consequences of warfare and the recent advancements in technology, which has also changed the lives of women. Accounting for almost half of the nation's workforce, a vast majority of them either are already mothers or will be, which means that something needs to be done about the childcare situation in America. Although center-based childcare is not, perhaps, the ideal situation for mothers and their children, most parents have little choice."
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Health Care and Managed Care, 2002.
Shortcomings of health care with the implementation of managed care.
4,150 words (approx. 16.6 pages), 17 sources, $ 151.95
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Abstract
This paper discusses the shortcomings of the American health care system with the implementation of managed care. The risks and future trends in the system are looked at as well as examples of what the system has faced.
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Caring Hands with a Caring Heart in Nursing, 2009.
A description of one of the chief goals for a nurse, to be caring.
895 words (approx. 3.6 pages), 5 sources, APA, $ 31.95
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Abstract
This paper discusses what is entailed in becoming a caring nurse. The author explains that a nurse's responsibility is to address the emotional and spiritual needs as well as the physical needs of a patient. However, to provide holistic care, nurses must first nurture themselves. The author provides specific examples of ways in which to treat a patient as a person while also treating the patient's illness. Being a caring nurse does not require a master's degree, a special training course, or even multiple years of nursing experience. Rather, it requires that nurses act as advocates for their patients and are always mindful to treat them holistically.
From the Paper
"Being a pediatric patient with cystic fibrosis can be difficult and frustrating, especially when they have to spend time away from friends and family. Caring for this patient will require a holistic process which will not only address their physical ailments but nurture their body as a whole. In order to care for this patient it would be important for the nurse to speak with the child's family. Discovering what the patient enjoys while at home will assist the nurse in individualizing their care. A caring nurse that goes the extra mile can communicate with the parents and find out the patient's favorite games, TV shows, foods, and books. By utilizing this newly discovered knowledge the nurse can make the child feel more comfortable in an environment that can sometimes be sterile and frightening."
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Health Care Managed Care and Fee-For-Service Plans, 2000.
2,790 words (approx. 11.2 pages), 11 sources, $ 83.95
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Abstract
This paper focuses on the quality of care delivered by various forms of managed care organizations and fee-for-service organizations as reported by numerous recent studies.
From the Paper
"There is a current climate of distrust and frustration with managed care which has led many people to question whether health maintenance organizations (HMOs) and other forms of managed care really are looking out for the best interests of their patients. Managed care plans have incentives in place which reward physicians and other health service providers for providing fewer services or less costly solutions. With American society?s negative feelings toward managed care medical practices, questions about the quality of care provided by various managed care institutions have been raised. The fact that managed care enrollment has been increasing while at the same time growth in total healthcare expenditures has been declining only serves to increase the frequency of questions about the quality of healthcare provided by managed care organizations. This paper will focus on the quality of care delivered by various forms of managed care organizations and fee-for-service organizations as reported by numerous recent studies."
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Healthcare Budgeting Regulations, 2008.
A review of the article "Health Care Fraud" by A.M. Nann, J.C. Ashe, and K.H. Levy.
1,032 words (approx. 4.1 pages), 3 sources, APA, $ 36.95
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Abstract
This paper discusses the subject of healthcare fraud and its effect on healthcare budgeting with respect to government rules and regulations that directly impact the budgeting process. In the article by Nann, Ashe and Levy entitled 'Health Care Fraud" the paper states that of particular importance are the Medicaid and Medicare programs and how recent changes in policies and the regulatory environment have impacted the healthcare industry from a regulatory perspective.
From the Paper
"The healthcare budgeting process has become so difficult vis-a-vis Medicare and Medicaid because of the increasing legislation, scope, and expansion of these plans accompanied by increased reporting and billing accountability. As recently as the current Presidency Medicare has come under expansive reform that has thrown the typical healthcare budget process into an exercise in futility because reconciling expected payments under a typical fee for service plan is difficult and is susceptible to fraudulent billing practices (Nann, Ashe and Levy, 2005). The current administration implemented the most sweeping reforms of Medicare in many years. One of the biggest impacts made on healthcare budgeting by these new adjustments to Medicare have been on capping expenses which physicians and healthcare institutions can charge for a given service if it is accepted within the Medicare program."
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Healthcare Payment Fund, 2002.
Looks at the widespread problem in the United States of fraudulent claims made against health care insurers.
1,507 words (approx. 6.0 pages), 9 sources, MLA, $ 49.95
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Abstract
This paper explores the problem of health care payment fraud by looking at the types of fraud committed, the laws broken as a result, and by describing those who often perpetrate the crime. Also discussed, are initiatives that are in place to help reduce or even completely eliminate health care payment fraud and the technological advances in software that may provide the ultimate solution to the problem.
From the Paper
"As the cost of healthcare in the United States continues to escalate, healthcare payment fraud has become an issue of major concern. Healthcare payment fraud is an attempt by the person or persons presenting the fraudulent claim to intentionally deceive an insurer like the Medicare and Medicaid systems or private insurers where the sole benefit would be receiving unauthorized reimbursements or payments."
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Health Care and Managed Health Care: The Need for Sweeping Reforms, 2002.
A look at role of primary care nurse practitioners in relation to health care reforms.
2,400 words (approx. 9.6 pages), 6 sources, $ 89.95
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Abstract
This paper investigates the role of primary care nurse practitioners in respect to health care and health care reform. The failure of primary healthcare is critically assessed, in the respect that health care is currently "managed" by independent "for- profit" organizations, where there is an emphasis on financial success rather than patient welfare. This paper also places a strong emphasis on the role of nurse care practitioners in the state of Florida and in community health care clinics.
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