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Essays 91 - 120

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...

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...

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 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/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 ...

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...

An Overview of Medicaid Eligibility

state to state and from group to group. There are special rules for those who live in nursing homes and for disabled children livi...

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...

Medical Coding and Billing

for those over 65. For many people, it is their only means of obtaining a doctors care. This paper discusses Medicare as well as m...

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...

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...

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...

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...

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...

Factors Affecting Health Care

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

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

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

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...

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 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...

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 ...

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 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...

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....

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...

The United States - A Reluctant Welfare State

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