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Essays 241 - 270

Medicare, Part D

to the medications needed to ensure their health. Beginning in 2004, Medicare began to offer aid, $600 a year, for covering the co...

The Australian Health Care System: A Comparison with the U.S. System

government reimburses thirty percent of the insurance premiums paid by the patient. In addition to those noted above, the...

Factors Affecting Health Care

now our nations elderly have depended on Medicare/Medicaid for their medical needs. The Medicare/Medicaid system upon which these...

Long Term Care/Medicare Reform

majority, if not all, Medicare part D plans will offer incentives for participants to choose generic drugs. It is believed that "g...

Fraudulent Billing and Medicare

frameworks include the "Balanced Budget Act of 1997 and the Health Insurance Portability and Accountability Act in 1998" (Texas Le...

Fraud and Medicare

$3 billion annually, that is about 10 percent of all claims (Albert, 2004). There are a number of laws that specifically address ...

Formal Plan of Compliance and Medicare Fraud

This is one of the largest settlements reached in the many similar cases that have come under review. Aside from the fraud involv...

Fraud in Medicare Deterrence and the False Claims Act

payments is more lucrative then the financial "risk" of being caught. Like any crime, if the law is lax in either the presence of...

An Article on PT's Medicare Audits Summarized

billing stipulations. Also in 2004, spending on services rendered by physical therapists (PTs) increased dramatically. Wallace lis...

MEDICARE DONUT HOLE - BACKGROUND AND SOME SOLUTIONS

In 2003 the Medicare Prescription Drug, Improvement, and Modernization Act (also known as MMA) passed amid a lot of hoopla and cel...

Heath Insurance Coverage and Bariatric Surgery

the long run, providing bariatric surgery is the most efficient answer to this problem as it can result in tremendous net savings ...

Medicare/Medicaid Fraud

doctor is simply unaware of changes in the coding system, but, for the purposes of this paper, it will be assumed that the errors ...

Deborah Stone's Policy Paradox Analyzed

back to rationality and politics (and the fact Stone believes the two cant be combined), she notes that the theoretical rational d...

Senior Citizens and Public Policy

forgetful. It can be a very serious problem for the elderly who are often on a smorgasbord of necessary pills to treat a variety o...

Prescription Drugs and Medicare Controversy

that a means test would be supported by Democrats but that is far from the case. The article points out that Medicare is embraced ...

Home Health Service Provider Business Plan

or may not have a market, home health care is a service that always has a market of some size. The business is a proven one, one ...

Long Term Healthcare Evolution

and their insurers by operating under two distinct fee schedules. Medicare requires that care providers fees be "normal and custo...

Australia and Medicare

the poorest communities, in terms of income level, have the lowest standard of health: a group which practises low-risk behaviours...

Federal Health Care Legislation

included doctors, hospitals, lab work, dentistry and nursing (The history of Medicare). In addition, medical insurance for the nee...

Medicare Part D and Insurance Planning

most of the differences between them rest on the types of drugs covered under each specific plan. The mechanics of each plan are ...

Medicare Program Part D

income which is far from adequate, they sometimes have to literally make the decision whether to eat or buy the drugs which have b...

Acme Hospital Information Technology Project Plan Synthesis

cost billions to bring a new drug to market, and the developer has patent protection only for relatively few years. To recoup its...

The United States - A Reluctant Welfare State

the challenge of numerous social problems throughout its history (Jansson, 2000). During the colonial period, indentured servants ...

Budgeting for Healthcare and the Impact of Government Regulation

that health insurance is simply a fringe benefit as opposed to a fundamental right (1994). Another issue that comes into play is...

Health Care Economics and the Impact of Medicare

with advancing age. Care providers cannot set lower fees for uninsured individuals and then penalize the insured and their insure...

Government Organization and Its Sociological Influences

care is no more a right than is the "right" to drive fast cars (Marmor, 2000); far more subscribe to the view that access to healt...

Medicare Managed Care and Impact of Macroeconomics

providers fees be "normal and customary," and those care providers who have attempted to set lower fees for those without any safe...

History and Future of HMOs

also had increased dramatically: by 1994, that percentage of GNP had increased to 15 percent and had topped the $1 trillion mark ...

Research Study Development on Hospice Care and Its Medicare Benefits

America, not the least of which is hospice care. Even funding sources of the magnitude of Medicare and private insurers have come ...

Proposal Memorandum for Medicare Policy Change

debt while meeting operational overhead expenses. As the federal government seeks to gain the benefits of increasing qualit...