This research paper describes the economic value of the health care industry today that is a topic of prime importance that has genuine relationship with the other industrial sectors of the economy. It also focuses on exploration of the implications of the cost of health care fraud…
Download file to see previous pages...
on and use of drugs that they don’t even need and also the other side.(CULS, nd) The example practices of health care fraud include billing for services that were not provided, intentional duplicate billing, erroneous prescription etc. Health Care Abuse; Health care abuse is the practice incurred for the sake of earnings out of prescriptions / applications that are not needed. The provision of goods and services that do not meet the standard of professional health care industry is health care abuse. The example of health care abuse include charging of unnecessary services or prescription of unwanted treatments etc Difference between Health Care Fraud and Health Care Abuse; the difference in health care fraud and health care abuse pertains with the nature of act. Hence, an act that results into unnecessary treatment / prescription falls under the category of health care abuse but the acts that deliberately aim to charge an extra cost out of cheating is counted in the definition of health care fraud. Waste; It refers to the provision of goods and services that were intended not to swindle or mislead but the payment methods that unintentionally raised the cost due to organizational errors. Rules and Regulations Related to Health Care related Fraud and Abuse; The various laws related to Health Care fraud and abuses are stated below for an overview; each of the below mentioned code followed by their clauses render a different impact on the case based on the execution. False Claims Act (FCA), 31 U.S.C., s. 3729 Florida False Claims Act, F.S. 817.234 Anti-Kickback Statute 42 U.S.C. s. 1320a-7b(b) Physician Self-Referral (“Stark”) Statute, 42 U.S.C. s. 1395nn Deficit Reduction Act of 2005 HIPAA of 1996, Title 18, Section 1347 Fraud Enforcement and Recovery Act of 2009...
This research paper explores the health care economic system of the United States and it's strategies as well as frauds problem that are becoming a widespread issue at present time that needs immediate attention of authorities for raising preventive measures. In the year 2008 the reporting of United States department of Health and Human service office of inspector general reveals the elimination of around 3,000 personnel against accusation of health care related fraud and abuse. Out of these 575 were criminal graded actions and 342 were the civil action abuses. The estimated loss mentioned in the research paper incurred out of the wastage was around $20.4 billion. Although the benefits of medications when used properly cannot be under estimated but the control of resources will grant the improvement in all the other sectors directly and indirectly. Evidence based training with the utilization of strategy that was proposed in this research paper will support the authorities to raise the potential of professional staff by rendering compact training with plans based on rationale of evidences. A thorough education of policies and procedures along with the training sessions in support of new practices induced via evidence based evaluation will aid the health care authorities to attain an improved level of control on health care delivery. The researcher states that a mutually cooperative exercise will not only aid the socio economic structure but will further improve the system by contracting the space for illegal practices.
...Download file to see next pagesRead More
Cite this document
(“Health Care Economics Research Paper Example | Topics and Well Written Essays - 1250 words”, n.d.)
Retrieved de https://studentshare.org/management/1392755-health-care-economics
(Health Care Economics Research Paper Example | Topics and Well Written Essays - 1250 Words)
“Health Care Economics Research Paper Example | Topics and Well Written Essays - 1250 Words”, n.d. https://studentshare.org/management/1392755-health-care-economics.
Critically, health policy is vital in facilitating infrastructural set up to enhance the provision of timely health treatment to victims of lifestyle diseases. It provides requisite capacity through legislation on various economic measures, for example, initiation of price controls to balance supply and consumption.
To look at a very simple example of how costs are driven down by technology let’s discuss the invention of solar panels. The thermal generation of electricity costs a lot as power stations have to be fed in with coal and wood as raw materials. The cost of such electricity would obviously increase in the future as the prices of coal rise due to supply contractions that would eventually lead to a continuous increase in electricity costs with the passage of time.
As indicated by Holstein and Litzinger (2008, 15), “in the U.S., the rapid rise in health care cost and low access are widely recognized as twin problems. Health care reform in this country first focused on cost containment through managed care to make health insurance affordable, and then shifted to expanding access to coverage at the state level without doing away with the private health insurance market”.
These debates involve discussions about how reforms can be brought about in this sector. This point of view takes care of the economic objectives of the reforms in the health care system but obscures the other portion of the purposes of providing efficient health care: the morally vital attributes of the medical profession and the health care provision.
Many scholars have debated whether the concepts and principles developed in economics can be used to explain how decisions are made in health care. There are a number of ways in which health care may be regarded as an economic good. Yet, in some ways, health care is quite different from conventional goods and services as understood in economics.
Today, awareness has empowered people to take pragmatic collective decision. Their interests are logical and comprehensive when they repose their trust in governments to fulfill physiological aspect of their lives. For welfare states to prosper governments try to come up
This was after the World War II when the current finance system started to surface. This resulted from wage and price controls which forced the employers to use health insurance in order to attract the subordinates (Penner 87). In addition, the demand for high quality
2 Pages(500 words)Research Paper
GOT A TRICKY QUESTION? RECEIVE AN ANSWER FROM STUDENTS LIKE YOU!
Let us find you another Research Paper on topic Health Care Economics for FREE!