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Papers On Medicine, Medical Issues, & Pharmacy
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Medicare and Managed Care Questions
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Three questions answered in 7 pages regarding the effects of managed care and Medicare’s transition from the retrospective cost based reimbursement system to the DRG/RUG/PPS systems currently in use today. Questions address cost, utilization, access and quality. Bibliography lists 7 sources.
Filename: KSmediMgdCarQues.rtf
Medicare and the Elderly
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This 5 page paper discusses the "players" in the current debate on health care for the elderly; their different positions and ideologies; the political power seniors have; changes in attitudes towards care over the years; and proposed solutions to the current crisis. Bibliography lists 5 sources.
Filename: HVMedEld.rtf
Medicare Benefits for Hospice Care -- Developing a Research Study
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This 7 page report discusses developing a research study that addresses the differences between utilization rates of hospice services before and after Congress passed the Medicare Hospice Benefit in 1982 and then the subsequent accreditation of hospice service providers. Bibliography lists 6 sources.
Filename: BWhosmed.rtf
Medicare Fraud
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A 3 page paper. Health insurance fraud is estimated at over $150 million per year, more than 10 percent of all health care bills. This essay reports the laws that deal specifically with Medicare fraud, e.g., the False Claims Act. The writer then proposes the laws are clear but fraud persists because there are not enough investigators to keep up with it. Bibliography lists 7 sources.
Filename: PGmdc3.rtf
Medicare Fraud
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A 6 page paper answering 3 questions about laws governing Medicare fraud (Stark, RICO) and the value of having a formal compliance plan. Bibliography lists 4 sources.
Filename: KSmedicFraud.rtf
Medicare Fraud: Is the False Claims Act (FCA) an Effective Deterrent?
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This 20 page paper provides an overview of the issues of Medicare fraud and the impacts. Bibliography lists 10 sources.
Filename: MHFalse44.rtf
Medicare Managed Care: History and Implications
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A 5 page paper discussing the history of Medicare managed care, economic implications and outlook for the future. The paper focuses on the history of the Medicare managed care, which saw its greatest growth throughout the decade of the 1990s. Medicare managed care has as much difficulty as other types of HMOs, however, and many are ceasing operations. This leaves seniors in a pool of uncertainty as increasing numbers of physicians turn away Medicare patients. Bibliography lists 3 sources.
Filename: KSmediHist.rtf
Medicare Part D
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A 6 page overview of this new addition to the Medicare Program. Designed to provide prescription drug coverage, the program has been a lifesaver for many. For others, however, there are complicating factors that mean more out-of-pocket expense in obtaining their drugs than what they incurred previously to their enrollment in Medicare D. Bibliography lists 4 sources.
Filename: PPmedcrD.rtf
Medicare Policy Change Proposal Memorandum
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A 2 page memo to Thomas Scully, Administrator, Centers for Medicare and Medicaid Services proposing a 6 – 9 month moratorium on health care provider reporting compliance. The purpose of this waiver will be to allow providers to design and implement operational changes designed to streamline their communications with CMS while enabling them to adopt the TQM (total quality management) principle of continuous improvement. The ultimate result is intended to be a more effective reporting and accountability system that the private sector – rather than taxpayer dollars – designs for CMS and for all of health care providers associated with Medicare. Bibliography lists 6 sources.
Filename: KSmediPolChgMemo.rtf
Medicare Policy Memo
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A 3 page memo discussing two leading problems of Medicare. The two primary problems facing Medicare is (1) the requirement that all individuals aged 65 and older participate even when they have no specific need; and (2) annual automatic increases in allowable charges for service to Medicare. Bibliography lists 3 sources.
Filename: KSmedPolProbM.rtf
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