Medicare and Medicaid Services (CMS), previously the Health Care Financing Administration (HCFA), that by the time 2011, health care expenditure will arrive at $2.8 trillion, as well as it will bill for 17% of the Gross Domestic Product. As a result Continue Reading...
HIPAA (the Health Insurance Portability and Accountability Act of 1996) and Recent Changes On August 21, 1996 a new law was signed called the Health Insurance Portability and Accounting Act of 1996, which is abbreviated as HIPPA (HEP-C, 2003 & R Continue Reading...
Health Reform Act The work of Flanagan, Miller, Pagano, and Wood (2010) entitled "Employee Benefit Plan Review -- Meyerowitz, Health care Reform Is Here -- Now What?" states that health care reform laws are expected to have an impact that is signifi Continue Reading...
Originally, this included 120 days of hospital benefits and 120 days of nursing-home benefits. General revenue funds from the program would also be applied towards hospital construction equipment purchase and grants to teaching hospitals. The secon Continue Reading...
For example, prior to 2007, there were approximately 1 million confirmed cases of hospital-acquired ("nosocomial") infections in American hospitals and other healthcare institutions (clinics, nursing homes, etc.), resulting in the premature and prev Continue Reading...
Stated to be barriers in the current environment and responsible for the reporting that is inadequate in relation to medical errors are: Lack of a common understanding about errors among health care professionals Physicians generally think of erro Continue Reading...
Insurance Fraud After tax evasion, insurance fraud is considered the highest-ranked among white-collar crimes. The original concept of insurance, as a for-profit endeavor, was to collect funds from a large number of people to pay for damages and acc Continue Reading...
healthcare services, many people could encounter some form of discrimination on the basis of their race, gender, or even sexual orientation. Discrimination in healthcare may seem like it is not something that is a major issue. However, it absolutely Continue Reading...
Health Care Costs Ways to Cut Them Right Now In the face of high health care costs, the health care industry is striving to reduce costs by addressing chronic, expensive drains on health care dollars. Researchers have offered numerous steps that ca Continue Reading...
Healthcare #1 I believe in evidence-based policy, and on that front there is evidence that the glass ceiling exists. I have no personal anecdotes to tell on the subject, and an individual anecdote is meaningless when discussing broad sociological ph Continue Reading...
Insurance Considerations Discuss the basic types of homeowners policies that are used today. When is each type most appropriate? Homeowners insurance policies are for people who own or are buying their own home and for people who rent a home or apa Continue Reading...
These stakeholders are also vital in the promotion of the application of standards-based technology. This is critical as it enhances the safety and security of the citizens as they pursue low-cost health care services and products within the contex Continue Reading...
In the case of pill mills, participating physicians and pharmacists bill insurance companies or Medicare for prescription drugs, allowing participating beneficiaries to resell those drugs to criminal middlemen. The pharmacy then repurchases the drug Continue Reading...
Health Care The government should provide health care, because the economic characteristics of health care make it ripe for abuse in a market environment. Government should provide as a service to its population those goods that, for one reason or a Continue Reading...
Administrative Law & Health Reform The entire discussion regarding health care reform in the United States is greatly influenced by ethical and policy considerations. The field of health care is vast and complicated and is even hard to define. T Continue Reading...
Economics of Healthcare The Economics of Health Care The healthcare in the United States is a system of economics that has been referred to as a Ponzi scheme and most assuredly, the economics of the U.S. healthcare system are unsound at best. The U Continue Reading...
Social, Cultural, And Political Influence in Healthcare Delivery Social, cultural, and political inequalities are detrimental to the health and healthcare system of the U.S. This is because the U.S. is one of the most multicultural, overpopulated, d Continue Reading...
The problems facing Medicare recipients and the federal government almost seem to be overwhelming. There are proponents of a plan to privatize Social Security and health insurance, placing the onus on the individual to pay for his own health care th Continue Reading...
It was good news. But it was bad news to healthcare providers in areas with large populations of alien immigrants. The benefits did not link up with the funding employers or the government to pay for the benefits. It did not offer enough incentives Continue Reading...
Mass Health Access, Cost, and Quality of the Massachusetts State Health Program: A Model for the Nation? Few issues are as controversial or as pressing in terms of national policy than healthcare, which was and continues to be a prominent election Continue Reading...
ACA and EMS The implementation of the Affordable Care Act (ACA) is sure to change the way EMS operate in the coming years. Accountable Care Organizations (ACO), for instance, are now responsible for overseeing how reimbursements are paid out to thos Continue Reading...
healthcare issues country. How solve ongoing problem Medicare Fraud Abuse government sufficient effective regulation enforce. If, resolve problem? recommendation ? It Economics Healthcare economically sound. Economics of healthcare The population Continue Reading...
Fraud and abuse present significant problems for the healthcare sector, leading to both financial losses and reduced quality of care. The outcomes of fraud and abuse are similar; but fraud and abuse are legally differentiated based on motive. Accordi Continue Reading...
President George Bush proposed a two part strategy with initial implemented drug coverage to low-income beneficiaries coupled with a White House task force to develop a plan to reform Medicare (Health Policy, 2001). Under this plan beneficiaries wit Continue Reading...
Medicaid and Medicare Fraud Describe health news story combating health care fraud Medicare Medicaid• Examine evaluate corporate structure governance, culture, focus social responsibility • Recommends Medicare and Medicaid fraud: An ove Continue Reading...
The safe harbors do not cover every area of permissible behavior, and an arrangement may not qualify as a safe harbor, but still not subject someone to the risk of prosecution. In fact, the courts have interpreted the Federal Anti-Kickback Law rela Continue Reading...
Higher Health Care Costs on Businesses Without doubt, America faces some heavy challenges in the forthcoming years. First, still reeling from the terrorist attacks of September 11, 2001, the United States struggles to find the medium ground between Continue Reading...
Medical Coding Ethics Ethical Concerns in Health Care Delivery: Focus on Medical Coding and Billing Practices The objective of this study is to examine ethical concerns medical coding and billing in the physician office. Medical coding and billing Continue Reading...
Rite Aid Fraud Over the years, there have been numerous cases of financial fraud perpetuated within the organizational mainstream of major companies. Financial fraud is often a well-coordinated sort of white-collar crime that often -- but not always Continue Reading...
Assessing the ability of these individuals to perform basic tasks in their daily lives can also have much significance (Marshall, Warren, Hand, Xie, & Stumbo, 2002). Many older Americans are able to feed and clothe themselves without apparent p Continue Reading...
The security rule also requires the physician to train his staff periodically on security policies and procedures and to come up with a contingency plan in cases of calamities like an earthquake, fire or other events that can destroy his information Continue Reading...
Ethics of Managed Healthcare Healthcare policy has emerged as one of the most important issues in American politics and will continue to drive significant aspects of contemporary American public policy debates in the near future. That is because, on Continue Reading...
The vision Oracle has is one of unifying all of their enterprise applications into their Fusion architecture and creating a single unifying Service oriented Architecture (SOA) was first announced in 2006 (Krill, 13). Since that time Oracle has cont Continue Reading...
Elderly Care in America: A comparison with England's Healthcare System Healthcare in America vs. Healthcare in England Different countries have varying healthcare systems across the world and the systems are set to benefit the local population with Continue Reading...
Affordable Care Act signed law President Barack Obama March 2010. Many provisions law directly affect Several different important elements exist as part of the Affordable Care Act, specifically as it pertains to community and public health. One of t Continue Reading...
" Written Policies Covered entities must develop and implement written privacy policies that are consistent with the Privacy Rule (OCR, 2003). This policy must address several components. One is that there must be a privacy official. The privacy of Continue Reading...
CASE STUDY 6.3: SINGLE-PAYER SYSTEM 1AbstractCase 6.3 seeks to assess the cost-effectiveness of the Medicare for All system. It discusses the cost savings to be realized by insurers, providers, and patients in implementing the Medicare for All system Continue Reading...
Presidential elections in the U.S.A. The United States Presidential election that was held on 6th November, 2012 was the 57th in the United States history. Such elections are held after every four years. The Democratic Party nominee was President Ba Continue Reading...
To improve security procedures, annual compliance training for all employees is mandated at Humana. Humana has also been praised for its positive organizational attitude in adapting to HIPAA and SOX, although corporate officials acknowledged that s Continue Reading...
legality of the "individual mandate" to purchase health insurance There have always been heated debates about the amount of interference government should have in our lives. Representative Michele Bachmann of Minnesota perhaps summed it up best whe Continue Reading...
