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Essays 181 - 210

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...

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...

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...

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...

Australia and Medicare

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

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...

Federal Health Care Legislation

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

Factors Affecting Health Care

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

Mobility Scooters and Health Care Policy

electric scooter to virtually anyone over the age of 65, CMS current position is that no individual will be approved to receive on...

Abuse and Fraud in Medicare

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

PPS Health Care Payment Systems

The provider may not charge either the patient or supplementary insurer an additional amount. "If the provider does not take assi...

Medicare, Health Care Issues, and the Presidential Election of 2004

that gives patients more options while maintaining fewer requirements (McKelvey, 2004). It is something that should strengthen the...

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...

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 ...

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...

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...

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...

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....

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...

Health Care Economics and Funding in the United States - A History

the consideration of dozens of microeconomic systems that operate as a function of the national macroeconomic picture. It is often...

MEDICARE AND SOCIAL SECURITY WHAT THE FUTURE WILL BRING

SECURITY Considering what will happen to the millions of Social Security recipients if current issues are not ironed out, t...

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...

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...

Changes in Health Care Legislation

Obamacare has consumed discussions on American health care legislation in the last years. Obamacare will have significant impacts...

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...

Medical Coding Procedures

one might imagine that in a hospital, when someone undergoes surgery, there are a number of things added to the bill. A surgery ch...

MEDICARE MODERNIZATION - AN OVERVIEW

Medicare Part D has the ability to impact millions of individuals who are currently enrolled in Medicare and who were unable to ge...