Fraud is the result of government and insurance company control of health care. The growth of bureaucracy is a precursor to incompetence and soaring costs of medical care. A lack of clinical diagnosis and a dependence on expensive testing has increased costs while decreasing the doctor's competence. The FBI and the attorneys general of all states are dealing with exploding health care fraud. The result is a trillion dollars in waste and deception. Trillion Dollar Scam details the origin of this fraud and waste, and offers solutions to fixing the broken U.S. health care system.
The problems of medical care confront us daily: a bureaucracy that makes a trip to the doctor worse than a trip to the dentist, doctors who can't practice medicine the way they choose, more than 40 million people without health insurance. "Medical care is in crisis," we are repeatedly told, and so it is. Barely one in five Americans thinks the medical system works well. Enter David M. Cutler, a Harvard economist who served on President Clinton's health care task force and later advised presidential candidate Bill Bradley. One of the nation's leading experts on the subject, Cutler argues in Your Money or Your Life that health care has in fact improved exponentially over the last fifty years, and that the successes of our system suggest ways in which we might improve care, make the system easier to deal with, and extend coverage to all Americans. Cutler applies an economic analysis to show that our spending on medicine is well worth it—and that we could do even better by spending more. Further, millions of people with easily manageable diseases, from hypertension to depression to diabetes, receive either too much or too little care because of inefficiencies in the way we reimburse care, resulting in poor health and in some cases premature death. The key to improving the system, Cutler argues, is to change the way we organize health care. Everyone must be insured for the medical system to perform well, and payments should be based on the quality of services provided not just on the amount of cutting and poking performed. Lively and compelling, Your Money or Your Life offers a realistic yet rigorous economic approach to reforming health care—one that promises to break through the stalemate of failed reform.
The definitive story of American health care today—its causes, consequences, and confusions
In March 2010, the Affordable Care Act was signed into law. It was the most extensive reform of America’s health care system since at least the creation of Medicare in 1965, and maybe ever. The ACA was controversial and highly political, and the law faced legal challenges reaching all the way to the Supreme Court; it even precipitated a government shutdown. It was a signature piece of legislation for President Obama’s first term, and also a ball and chain for his second.
Ezekiel J. Emanuel, a professor of medical ethics and health policy at the University of Pennsylvania who also served as a special adviser to the White House on health care reform, has written a brilliant diagnostic explanation of why health care in America has become such a divisive social issue, how money and medicine have their own—quite distinct—American story, and why reform has bedeviled presidents of the left and right for more than one hundred years.
Emanuel also explains exactly how the ACA reforms are reshaping the health care system now. He forecasts the future, identifying six mega trends in health that will determine the market for health care to 2020 and beyond. His predictions are bold, provocative, and uniquely well-informed. Health care—one of America’s largest employment sectors, with an economy the size of the GDP of France—has never had a more comprehensive or authoritative interpreter.
Using the same approach, this text provides a distillation of the widely popular Legal Aspects of Health Care Administration. It presents an overview of health law topics in an interesting and understandable format, leading the reader through the complicated maze of the legal system. The topics presented in this book create a strong foundation in health law. This book is a sound reference for those who wish to become more informed about how the law, ethics, and health care intersect. Features: A historical perspective on the development of hospitals, illustrating both their progress and failures through the centuries. Actual court cases, state and federal statutes, and common-law principles are examined. A broad discussion of the legal system, including the sources of law and government organization. A basic review of tort law, criminal issues, contracts, civil procedure and trial practice, and a wide range of real life legal and ethical dilemmas that caregivers have faced as they wound their way through the courts. An overview of various ways to improve the quality and delivery of health care.
With over 100,000 copies sold, it is clear that instructors turn to George Pozgar time and again to make the legal aspects of health care administration meaningful and memorable to students. the forthcoming 10th edition of this classic text has been further revised and updated with the most current information on law and the health care industry. the 10th edition continues to lay a strong foundation for the reader in both ethical and legal issues critical to improving the quality and safe delivery of health care.
Published in conjunction with the American Health Information Management Association (AHIMA), the Fourth Edition of Medical Records and the Law is once again the ideal text for programs in HIM as well as a valuable reference resource for health professionals and those in the legal profession. Providing a useful resource to those in the legal profession, it addresses the substantial changes brought about by HIPAA and the growth of electronic health record systems and electronic data networks, retaining and updating the discussion of state laws affecting the use and disclosure of health information. This book also discusses the highly complex interplay of federal and state health information privacy laws. The Fourth Edition addresses the challenging area of how patient information may be used in connection with medical research involving human subjects. Features: With the evolution in how health information is created, stored, retrieved, used, and transmitted, the need for protection has resulted in new and comprehensive regulation in the form of the Health Insurance Portability and Accountability Act and this book addresses its voluminous privacy, security, identifier, code set, and transactions regulations. Medical Records and the Law, Fourth Edition provides the tools health care providers and government agents need, at all levels, given the increased focus on accountability for the quality of health care. This book focuses on the reduction of errors and rapid access to electronic health records as an essential and fundamental part of successful quality improvement efforts.
This collection of essays presents fresh interpretations of the growth of medico-legal ideas, institutions and practices in Britain, Europe and America over the past four hundred years. Based on a wealth of new research, it brings the historical study of legal medicine firmly into the realm of social history. Case studies of infanticide, abortion, coroners' inquests, and criminal insanity show that legal medicine has often been the focus of social change and political controversy. The contributors also emphasize the formative influence of legal systems on medico-legal knowledge and practice. Legal Medicine in History enlarges our understanding of the public role of medicine in modern Western societies, while opening up new perspectives on social, cultural, and political history.
This work addresses the collateral legal considerations that may affect emergency service organizations. Its primary focus is on the relationship between the emergency service employee and the organization. With the deterioration of At Will employment doctrine by Congress and courts, emerging new technologies, and the dwindling number of unionized shops, emergency service organizations face the potential of increased litigation under new and novel theories in areas which were not even fathomed by emergency service organizations 20 years ago. Written by a lawyer for non-lawyers, the book is not consumed with the basic legalese that most books of this kind are. It seeks to inform the user of his or her rights under the law in a clear and comprehensive way.
Designed to provide a foundation of law and ethics, Law, Liability, and Ethics for Medical Office Personnel applies these concepts to real-life situations in the health care environment. Case studies from actual legal procedures illustrate key points of law as well as ethical dilemmas faced in the medical office. This book helps medical assisting students interact with the legal profession, recognize when they need legal advice, and protect their future employers from medical malpractice complaints.
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