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Essays 241 - 270

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...

Long Term Healthcare Evolution

and their insurers by operating under two distinct fee schedules. Medicare requires that care providers fees be "normal and custo...

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...

The United States - A Reluctant Welfare State

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

Australia and Medicare

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

Health Care Economics and the Impact of Medicare

with advancing age. Care providers cannot set lower fees for uninsured individuals and then penalize the insured and their insure...

Government Organization and Its Sociological Influences

care is no more a right than is the "right" to drive fast cars (Marmor, 2000); far more subscribe to the view that access to healt...

Prescription Drugs and Medicare Controversy

that a means test would be supported by Democrats but that is far from the case. The article points out that Medicare is embraced ...

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...

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...

History and Future of HMOs

also had increased dramatically: by 1994, that percentage of GNP had increased to 15 percent and had topped the $1 trillion mark ...

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 ...

Medicare and Altering its Health Care Effects

influences the degree to which health care costs rise in that it establishes what it will and will not pay for goods and services....

Proposal Memorandum for Medicare Policy Change

debt while meeting operational overhead expenses. As the federal government seeks to gain the benefits of increasing qualit...

Medicare Managed Care and Impact of Macroeconomics

providers fees be "normal and customary," and those care providers who have attempted to set lower fees for those without any safe...

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...

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...

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...

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...

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...

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 ...

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...