Profiteering Corruption And Fraud In U S Health Care

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Profiteering, Corruption and Fraud in U.S. Health Care

Author : Anonim
Publisher : Unknown
Page : 206 pages
File Size : 47,8 Mb
Release : 2020-06
Category : Electronic
ISBN : 1938218272

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Profiteering, Corruption and Fraud in U.S. Health Care by Anonim Pdf

Profiteering, corruption and fraud are emblematic of our profit-driven, corporatized marketplace and so-called health care system. The three bleed into each other in an entangled way, and they are even increasing. We have to ask and answer: who is the health care system for- profits for health care corporations, their shareholders, and Wall Street traders and investors? for the corrupt and fraudulent scammers? or for patients, their families, and taxpayers? The urgent need for health care reform is at an all-time high as the U. S. struggles to deal with the COVID-19 pandemic and the recession certain to follow. We are far behind other advanced nations with one or another system of universal coverage. Incremental attempts to reform U. S. health care have failed for many years. Our broken system is no longer affordable for patients, families, and taxpayers. This book updates where we are with the untenable status quo and compares three major alternatives for reform-building on the ACA, the public option, and Medicare for All.

For-Profit Enterprise in Health Care

Author : Institute of Medicine,Committee on Implications of For-Profit Enterprise in Health Care
Publisher : National Academies Press
Page : 580 pages
File Size : 40,5 Mb
Release : 1986-01-01
Category : Medical
ISBN : 9780309036436

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For-Profit Enterprise in Health Care by Institute of Medicine,Committee on Implications of For-Profit Enterprise in Health Care Pdf

"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.

Crossing the Global Quality Chasm

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Board on Global Health,Committee on Improving the Quality of Health Care Globally
Publisher : National Academies Press
Page : 399 pages
File Size : 50,8 Mb
Release : 2019-01-27
Category : Medical
ISBN : 9780309477895

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Crossing the Global Quality Chasm by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Board on Global Health,Committee on Improving the Quality of Health Care Globally Pdf

In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.

Mismanaged Money in American Healthcare

Author : Lisa Famiglietti,Mark Scott
Publisher : McFarland
Page : 232 pages
File Size : 42,5 Mb
Release : 2023-09-01
Category : Health & Fitness
ISBN : 9781476649931

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Mismanaged Money in American Healthcare by Lisa Famiglietti,Mark Scott Pdf

Warren Buffett famously invoked the metaphor of a tapeworm when describing what healthcare is to the American economy. The United States spends approximately 20% of its gross national product on healthcare, but it is unclear where the money goes or who is minding the store. This healthcare crisis is mostly about money--not lack of money, but rather misspending of money. From the perspective of a healthcare auditor and provider, this work describes the problems of American healthcare finance and proposes solutions. Extensive charts and graphs are used to trace where money goes in the American healthcare system, while other topics such as ethics in healthcare billing, un-auditable hospital costs and scams are discussed. There is evidence that clearly identifies where the money goes, and its destination may surprise the reader.

Undercover

Author : John W. Schilling
Publisher : Author House
Page : 306 pages
File Size : 44,6 Mb
Release : 2010-09-24
Category : Biography & Autobiography
ISBN : 9781452055091

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Undercover by John W. Schilling Pdf

When John Schilling, an unassuming midlevel accountant, joined Columbia Healthcare Corporation -- the nation's fastest growing and revolutionary network of public hospitals -- it seemed like the start of an exciting new career with great advancement and earnings potential. He never expected to become a catalyst for the series of "whistleblower" lawsuits that ripped through the healthcare industry in the late 1990s In Undercover, John Schilling tells the story of his harrowing journey from ordinary citizen and loyal employee to covert FBI informant and top witness for the Justice Department in the largest criminal healthcare fraud case in U.S. history. It began when he stumbled upon evidence-- a $3.5 million accounting "error"--of his company's routine practice of defrauding Medicare. When pressured to comply with stealing from taxpayers, Schilling knew he had to speak up for what he believed was right, regardless of the cost to his job, his reputation, and his family. His courageous choice would consume the next seven years of his life, leading to more drama, angst, turmoil, and money than he could have imagined. Ultimately, Schilling's moral conviction and a little known law, the False Claims Act, paid off by forcing the formidable healthcare conglomerate of Columbia/HCA to pay back $1.7 billion to the federal government. Revealing the personal side of a thankless role, Undercover is a gripping and inspiring account of a long, hard, life-- changing quest for justice. ADVANCE PRAISE FOR UNDERCOVER "Undercover crackles with authenticity as it recounts in a lively, readable style how a man on the inside risked everything and blew the whistle on a giant healthcare company that was systematically looting the Medicare program out of billions. A good read for anyone, but a must-read for someone who may contemplate taking the same path as John Schilling" -- John R. Phillips, "The nation's premier whistleblowing attorney" according to the The Wall Street Journal and the National Law Journal "John Schilling's book is a must-read for whistleblowers. He shows you how hard it can be, yet also shows you how to prevail. Best of all, John shows you how to be a good citizen" -- Jim Moorman, past President, Taxpayers Against Fraud

Bedlam

Author : Joe Sharkey
Publisher : St Martins Press
Page : 294 pages
File Size : 53,8 Mb
Release : 1994
Category : Social Science
ISBN : 0312104219

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Bedlam by Joe Sharkey Pdf

Argues that the for-profit mental health industry is defrauding the federal government out of millions of dollars and lobbying for more extensive coverage under the new health care reform

Library Lin's Curated Collection of Superlative Nonfiction

Author : Linda Maxie
Publisher : Spoon Creek Press
Page : 368 pages
File Size : 46,9 Mb
Release : 2022-05-05
Category : Reference
ISBN : 9798985923414

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Library Lin's Curated Collection of Superlative Nonfiction by Linda Maxie Pdf

Trust a librarian to help you find books you’ll want to read Library Lin’s Curated Collection of Superlative Nonfiction is a librarian’s A-list of nonfiction books organized by subject area—just like a library. Linda Maxie (Library Lin) combed through 65 best books lists going back a century. She reviewed tens of thousands of books, sorted them according to the Dewey Decimal Classification system, and selected an entire library’s worth for you to browse without leaving home. Here you’ll find • Summaries of outstanding titles in every subject • Suggestions for locating reading material specific to your needs and interests In this broad survey of all the nonfiction categories, you will find titles on everything from the A-bomb to Zen Buddhism. You might find yourself immersed in whole subject areas that you never thought you’d be interested in.

Deadly Spin

Author : Wendell Potter
Publisher : Bloomsbury Publishing USA
Page : 304 pages
File Size : 44,8 Mb
Release : 2010-11-09
Category : Political Science
ISBN : 9781608193509

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Deadly Spin by Wendell Potter Pdf

That's how Wendell Potter introduced himself to a Senate committee in June 2009. He proceed to explain how insurance companies make promises they have no intention of keeping, how they flout regulations designed to protect consumers, and how they make it nearly impossible to understand information that the public needs. Potter quit his high-paid job as head of public relations at a major insurance corporation because he could no longer abide the routine practices of the insurance industry, policies that amounted to a death sentence for thousands of Americans every year. In Deadly Spin, Potter takes readers behind the scenes of the insurance industry to show how a huge chunk of our absurd healthcare expenditures actually bankrolls a propaganda campaign and lobbying effort focused on protecting one thing: profits. With the unique vantage of both a whistleblower and a high-powered former insider, Potter moves beyond the healthcare crisis to show how public relations works, and how it has come to play a massive, often insidious role in our political process-and our lives. This important and timely book tells Potter's remarkable personal story, but its larger goal is to explain how people like Potter, before his change of heart, can get the public to think and act in ways that benefit big corporations-and the Wall Street money managers who own them.

Fraud and Corruption

Author : Peter C. Kratcoski,Maximilian Edelbacher
Publisher : Springer
Page : 301 pages
File Size : 42,6 Mb
Release : 2018-09-14
Category : Social Science
ISBN : 9783319923338

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Fraud and Corruption by Peter C. Kratcoski,Maximilian Edelbacher Pdf

This textbook provides an overview of the major types of fraud and corrupt activities found in private and public agencies, as well as the various methods used to prevent fraud and corruption. It explores where opportunities for fraud exist, the personal characteristics of those who engage in fraud, as well as their prevention and control. This work covers fraud in the financial sector, insurance, health care, and police organizations, as well as cybercrime. It covers the relationship between fraud, corruption, and terrorism; criminal networks; and major types of personal scams (like identity theft and phishing). Finally, it covers the prevention and control of fraud, through corporate whistle blowing, investigative reporting, forensic accounting, and educating the public. This work will be of interest to graduate-level students (as well as upper-level undergraduates) in Criminology & Criminal Justice, particularly with a focus on white collar and corporate crime, as well as related fields like business and management.

Delivering Health Care Services

Author : Raisa B. Deber,Commission on the Future of Health Care in Canada
Publisher : [Saskatoon] : Commission on the Future of Health Care in Canada
Page : 51 pages
File Size : 55,8 Mb
Release : 2002
Category : Health care form
ISBN : 066232787X

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Delivering Health Care Services by Raisa B. Deber,Commission on the Future of Health Care in Canada Pdf

Innovations in Health Care Financing

Author : George Schieber
Publisher : World Bank Publications
Page : 264 pages
File Size : 53,8 Mb
Release : 1997-01-01
Category : Medical
ISBN : 0821339648

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Innovations in Health Care Financing by George Schieber Pdf

Spanish edition. World Bank Technical Paper No. 345S. This report examines specific policies for achieving sustainable development of the mining industry in the countries of Latin America and the Caribbean. The report highlights the importance of the mining sector to national economies of the region and discusses World Bank assistance in formulating policy. Also available in English: (ISBN 0-8213-3816-1) Stock no. 13816.

Catastrophic Care

Author : David Goldhill
Publisher : Vintage
Page : 386 pages
File Size : 54,9 Mb
Release : 2013-01-08
Category : Medical
ISBN : 9780307961556

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Catastrophic Care by David Goldhill Pdf

A visionary investigation that will change the way we think about health care: how and why it is failing, why expanding coverage will actually make things worse, and how our health care can be transformed into a transparent, affordable, successful system. In 2007, David Goldhill’s father died from infections acquired in a hospital, one of more than two hundred thousand avoidable deaths per year caused by medical error. The bill was enormous—and Medicare paid it. These circumstances left Goldhill angry and determined to understand how world-class technology and personnel could coexist with such carelessness—and how a business that failed so miserably could be paid in full. Catastrophic Care is the eye-opening result. Blending personal anecdotes and extensive research, Goldhill presents us with cogent, biting analysis that challenges the basic preconceptions that have shaped our thinking for decades. Contrasting the Island of health care with the Mainland of our economy, he demonstrates that high costs, excess medicine, terrible service, and medical error are the inevitable consequences of our insurance-based system. He explains why policy efforts to fix these problems have invariably produced perverse results, and how the new Affordable Care Act is more likely to deepen than to solve these issues. Goldhill steps outside the incremental and wonkish debates to question the conventional wisdom blinding us to more fundamental issues. He proposes a comprehensive new way, where the customer (the patient) is first—a system focused on health and maintaining it, a system strong and vibrant enough for our future. If you think health care is interesting only to institutes and politicians, think again: Catastrophic Care is surprising, engaging, and brimming with insights born of questions nobody has thought to ask. Above all it is a book of new ideas that can transform the way we understand a subject we often take for granted.

Grand Theft Pentagon

Author : Jeffrey St. Clair
Publisher : Unknown
Page : 340 pages
File Size : 41,8 Mb
Release : 2005
Category : Business & Economics
ISBN : UOM:39015063336377

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Grand Theft Pentagon by Jeffrey St. Clair Pdf

From the F-22 fighter jet and B-2 bomber to the Stryker tank, St. Clair, "the Seymour Hersh of environmental journalism" (Josh Frank), chronicles how the Pentagon shells out billions to politically wired arms contractors for weapons that don't work for use against an enemy that no longer exists.

Fraud Control in the Health Care Industry

Author : Malcolm K. Sparrow
Publisher : Unknown
Page : 16 pages
File Size : 46,5 Mb
Release : 1998
Category : Electronic government information
ISBN : UOM:39015055604139

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Fraud Control in the Health Care Industry by Malcolm K. Sparrow Pdf