SEARCH RESULTS

YOU WERE LOOKING FOR :Medicare Program Implications and Managed Health Care

Essays 1321 - 1350

Health Care and Organizational Structure

ineffective - organizational structure on the organizations ability to function at optimal levels has been known literally for dec...

Questions on Health Care and Government

PROs began to focus on particular types of services for intensive review. By the end of the decade, the activities of the PROs beg...

Pneumonia and Tool for Data Collection

"yes" response to a question requiring clarification takes the user directly to the point where that clarification can be entered....

Long Term Healthcare Evolution

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

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...

Abuse and Fraud in Medicare

American Medical Colleges, American Medical Assn. et al. v. United States), which alleged the government is conducting illegal Med...

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...

Medical Insurance - Appeal Processes and Potential Claim Errors

a minimum value hurdle met, so avoid wasting time on small claims. In Medicare cases where there is a denial as a result of a mi...

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 and Medicare

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

Fraudulent Billing and Medicare

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

Medicare Crime Deterrence and the FCA

then the financial "risk" of being caught. Like any crime, if the law is lax in either the presence of legal directive or its enf...

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 ...

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...

Hospital-Acquired Infections and the Vulnerability of Medicare

costs to the tune of more than $10,000 dollars and also have to stay in the hospital an average of 3 to 4 days longer than they wo...

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...

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 ...

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 Drug Costs and Medicare

to be able to liberalize their policies, something that has made life difficult for many people, and not just seniors or the disab...

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 ...

Proposal Memorandum for Medicare Policy Change

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

The Environment of Modern Healthcare and Ambulatory Payment Systems

This fifty page paper provides an extensive examination of ambulatory payment systems development in the environment of modern hea...

Budget Surplus, Medicaid and Medicare

In five pages this paper examines the present system of Medicaid and Medicare in a discussion of the need for change, long term re...

Medicare and Pharmaceutical Benefits

In ten pages this paper discusses Medicare and the financial problems associated with supplying pharmaceutical benefits across the...

Payment Transfers in Welfare States

This paper compares the United States to other countries of the world with regard to payment transfers within the welfare system w...

Medicare and Medicaid Options' Evaluation

In ten pages Medicaid and Medicare options are evaluated with several policy issues discussed and an examination of Kingston's the...

Fraud Involving Medicaid and Medicare

In ten pages this paper examines what is being done to prevent instances of fraud in Medicaid and Medicare. There are 12 sources ...

Democrats and Republicans on Medicare

In five pages this paper examines the 1995 and 1996 time period in a consideration of Medicare and the continuing political debate...

Memo for the President to Congress

In two pages this paper discusses the U.S. President's request for a memo to be written to urge Congress not to cut from Medicaid ...