Healthcare system - Research Paper Example

gans such as centers for Medicare and Medicaid services, Department of Justice besides Department of Health and Human Services Office of the Inspector General. It outlines important clauses of the contract including payments and price, conflict resolution, contract termination or suspension among other key clauses. The document ensures a smooth and efficient arrangement of terms of contract between the service providers and the local authorities who commission the contract. As a result of the massive financial losses that have been experienced from disloyal and non-abiding medical professionals by patients, a number of mechanisms and legal provisions have been laid down to curb this act of fraud by the professionals.

Such mechanisms have seen the states recover huge amount of cash from the fraudulent activities. The issue was treated with much weight that it formed one of the debated issues that was given priority in the congress proceedings in the United States of America. The mechanisms that were put in place to curb the act included establishment of statutes by the federal government and enactment of strict health legislation reforms under the patient protection and affordable care act. This research paper looks comprehensively into the statutes that were put in place by the federal government and some of the amendments that were done to the them by the patient protection act in a bid to see the patients of the country not overexploited and abused.

The federal government provided severe penalties such including criminal and civil penalties and excluding an individual from the health care programs of the federal government all as a way of combating fraud. This law is also known as the physician self-referral statute prevented a medical practitioner from referring a beneficiary of Medicaid and Medicare to a an entity to be provided with any form of health care services in case there are direct financial links between the entity and either the medical