15‚ 10:53am Medicare Crisis You are chief of staff to your brother-in-law‚ Representative Howard Hughes‚ who was recently elected to fill out a term in Congress. a panel discussion on the Medicare funding crisis. You have been asked to prepare paper for him. The panel is asked to respond to a proposal for reducing Medicare expenditures by enrolling participants in HMOs. What does the Congressperson say? The following key questions must be addressed in the paper: Is Medicare in a state of
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MEDICARE FRAUD Bobby Brown Colorado Technical University Medicare Fraud occurs when someone intentionally falsifies information or deceives Medicare (www.medicare.gov). Strike force accused ninety-four people across the U.S. The charges are based on several fraud schemes including Physical Therapy schemes‚ Healthcare schemes‚ HIV infusion schemes‚ and durable medical equipment schemes (Long-Term Living‚ Aug.2010‚ vol.59 issue 8‚ p10-10‚8/9p). These schemes exceeded $225 million in false
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The Impacts of the Patient Protection and Affordable Care Act and Health Education and Reconciliation Act of 2010 I. Introduction The Patient Protection and Affordable Care Act (PPACA) was signed into law on March 23‚ 2010 by President Barack Obama. Along with the Health Care and Education Reconciliation Act (HCERA)‚ it represents the momentous transformation of the U.S. health care system. Its main goal is to decrease the amount of uninsured citizens as well as to reduce the overall costs
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Issues in Financing Medicare Background With the rising number of uninsured Americans‚ health care has been a major issue in the United States. Due to “The Great Recession” and the growing number of Americans who found themselves unemployed‚ the number of uninsured Americans has rose from 46.6 million in 2005 to a record number of 50.7 million in 2010. Many of these uninsured again have lost their employee health insurance benefits or they made the decision to cut their health insurance just
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MEDICARE Prior to 1965‚ it was almost impossible for people 65 years and older to get a private health insurance. Medicare was enacted in 1965 to counter the growing health care costs and provide access to the elderly‚ making health care a universal right for all Americans 65 years and older. (Medicare & You‚ 2013) The rapid growth in the baby boomers population that began in 2011 caused a burden on the government by adding to the already high deficits. Medicare enrollment is expected to double
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Medicare Part D Drug Plan was created by Congress in 2003 to aid the elderly‚ disabled‚ and sick persons in affording their medication. Coverage for the drug plan went into affect January 1‚ 2006. This plan was called the Medicare Prescription Drug Improvement and Modernization Act of 2003 (MMA) (Cassel‚ 2005). The final bill that passed‚ was influenced by drug-company and health insurance lobbyists and focused mainly on the needs of those industries instead of the seniors it was meant to serve
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Coding Fraud Michael Anastasio Ultimate Medical Academy Before answering the questions “what are my responsibilities for billing on a procedure that was not performed but asked to do so anyway”‚ Let me explain a little on Medical Billing Fraud? It is an attempt to fraudulently obtain payments from insurance carriers. Fraud in medical billing cost tax payers and medical providers millions of dollars annually (all-things-medical-billing.com). In 1996‚ HIPPA established the Health Care Fraud and
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Fraud Fraud is listed by the 2003 UK Threat Assessment issued by the National Criminal Intelligence Service as one of the seven most significant threats facing the world1. What is a Fraud? A fraud is when one party deceives or takes unfair advantage of another. A fraud includes any act‚ omission‚ or concealment‚ involving a breach of legal or equitable duty or trust‚ which results in disadvantage or injury to another. In fact‚ in a broad strokes definition‚ fraud is a deliberate misrepresentation which
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business environment. Trends observed indicate a need for increasing secure management. Review of scholarly journals‚ industry publications and text books were performed to gather data. Findings support that implementation of fraud reporting mechanisms assist in detecting fraud. Abstract 3 Introduction 4 What is Password Hashing? 4 Defined 4 Hashing Methodologies 5 How Password Hashing is Used 6 Add SALT for Taste? 7 Who Should Care and Why Hashing is Important 8 Individual Users
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insurers know that Medicare Advantage is the only safe portion of the Affordable Care Act (Obama Care). Since last year the plan has added nearly 900‚000 members. According‚ to the latest federal data‚ the managed -care version of Medicare has grown to 18.7 million since December 2016. Almost 4 million members have enrolled in UnitedHealth Group‚ Humana‚ Aetna‚ and Kaiser Permanente alone. The Government must have a plan in place to insure America‚ why not build off the Medicare Advantage Plan? It
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