professional conduct or medically unnecessary.” Health care fraud arises from an individual or group of individuals filing of a dishonest health care claim in order to turn it into a profit. Abuse; however‚ is harder for the investigator to identify and establish if the act was committed knowingly‚ willfully‚ and intentionally. Healthcare industry is one of the fastest growing sectors of the US economy; almost 10% of the US’s national GDP is consumed by the health care industry. According to Forbes’s report
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Affordable health-care has been a controversial topic for many years‚ and the debate over health-care and what to do began when former President Barack Obama promised to make health insurance affordable for all. Health-care companies had long opposed such a reform‚ but Obama was able to create a deal in which health-care companies would expand the pool of insurance subscribers to cover their costs—agreeing to neither deny coverage to those with preexisting conditions nor imposing higher rates. In
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controversial aspect to be evaluated. To fully address the question‚ one needs to analyze and review the implementation and overall effects of the mandated policy. I found an interesting opinion‚ since there will always be two conflicting opinions to a policy‚ that was presented by Scott W. Atlas. Before presenting his comprehensive opinion on Obamacare‚ one needs some information on this individual’s background. Scott W. Atlas -Scott W. Atlas‚ MD‚ is the David and Joan Traitel Senior Fellow at the Hoover
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Poverty and Health-care in the Federal System The Constitution of the United States has two foundational organizational principles that one of them is federalism. Federalism was an unquestionable intellectual concern of the framers and ratifiers of the Constitution. Federalism is defined as the division of the power between a central government and several regional governments. The sharing of the power between the federal government and the state governments is consequential part of the United
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Policy Topic: Stem Cell Research Health Care Policy: The Past and the Future: HCS/455 A very controversial subject in the United States has been Stem Cell research. The United States has a very complicated legal and political history when Stem Cell laws and policies come into play. Scientifically speaking‚ the practice of stem cell research and treatments consists of the use of cells found in all multi-cellular organisms. There are two different types of stem cells‚ adult stem cells and embryonic
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the Medicare rule for observation is very complex and confusing. The intention of the rule is to set clinical criteria for observation‚ and rapidly discharge the patient in twenty-four hours. However‚ this does not always happen. Some observation patients can stay up to ninety-six hours before being discharged or switched to observation status. One of the problems is individual health care organization interprets the Medicare rule differently. Then if the patient had a managed care Medicare carrier
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Health Care Reform Name Grade Course Tutor’s Name 18th July‚ 2012 Health Care Reform Outline 1) Health care reforms are expected to solve health care challenges and issues through different ways‚ including addressing the issue of obesity‚ rationing of care‚ insurance reforms‚ and shortage of medical practitioners to provide quality and reliable services. i) President Obama’s health care reforms (a) President Obama proposed electronic record-keeping‚ decrease
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Historical Misrepresentation of the Affordable Care Act Affordable Care Act also known as ObamaCare is a statute signed into a law by President Barack Obama on March‚ 23 2010. This act is a part of a health care reform which among other things will change and regulate requirements for employers group insurance plans as well as private health plans and public health programs. Ever since ACA was introduced it has been
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Independent Inquiry into Inequalities and Health‚ London: Stationary Office (3‚ 4) Almgren‚ G (2006) Health care politics‚ policy‚ and services: A social justice analysis. New York: Springer (2‚ 4) Alcock‚ P. (2003) Social Policy in Britain: An Introduction (2nd Ed)‚ Basingstoke: Palgrave (2) Alcock‚ P. (2008) Social Policy in Britain (3rd ed) Hampshire: Palgrave Macmillian (2) Asthana‚ S and Haliday‚ J (2006) What works in tackling health Inequality: Pathways‚ policies and practice through the life course
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obtain Medicare is very comforting. Medicare is a federal health care program that was put in place by Congress in 1965 to provide health insurance to Americans sixty-five and above. Medicare was then expanded in 1972 to also cover younger individuals who are disabled (Kaiser‚ 2012). Traditional Medicare provides coverage to all Americans sixty-five and older without taking into account income. Prior to Medicare a whopping fifty percent of seniors lacked health coverage (Center for Medicare Advocacy
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