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Articles 1 - 12 of 12
Full-Text Articles in Insurance
Medicare And The Aca: Shifting The Paradigm Of Fraud Detection, David P. Paul Iii, Sarah Clemente, Ronald Mcgrady, Rob Repass, Alberto Coustasse
Medicare And The Aca: Shifting The Paradigm Of Fraud Detection, David P. Paul Iii, Sarah Clemente, Ronald Mcgrady, Rob Repass, Alberto Coustasse
Alberto Coustasse, DrPH, MD, MBA, MPH
Medicare fraud and abuse costs are estimated at 3%-10% of overall Medicare spending, which is expected to expand considerably until 2024 and as such the amount of fraud dollars would be expected to increase proportionally. The purpose of this research was to determine how recent reforms, especially the Patient Protection and Accountable Care Act, may affect Medicare fraud and abuse and to uncover the best strategies to combat Medicare fraud. The breadth of fraud and abuse within Medicare as well as recent reforms to fight fraud including legislative reforms, delivery system reforms, and other reforms including the formation of HEAT …
Legal Barriers To Implementing International Providers Into Medical Provider Networks For Workers' Compensation, Richard Krasner
Legal Barriers To Implementing International Providers Into Medical Provider Networks For Workers' Compensation, Richard Krasner
Richard Krasner
Over the last twenty years, medical costs associated with lost time workers’ compensation claims has risen dramatically, despite efforts to reform the system. Medical tourism, a popular option for many seeking lower cost health care, is one option that has yet to catch on. Issues of quality of health care in other countries is no different for workers’ compensation patients, as it is for health care patients, and with accreditation from the Joint Commission International (JCI), hospitals that cater to medical tourists offer better care at lower cost than most U.S. hospitals offer. Certain procedures, common to workers’ compensation claims, …
Collaborating With A Financial Therapist: The Why, Who, What And How, Cicily Maton, Michelle Maton, William Marty Martin
Collaborating With A Financial Therapist: The Why, Who, What And How, Cicily Maton, Michelle Maton, William Marty Martin
William Marty Martin
Financial planning clients are seeking holistic solutions to their financial opportunities and challenges. Yet, few financial planners and mental health professionals work together to benefit clients. This article showcases a partnership between a financial therapist, trained as a psychologist, and two financial planners who have implemented an evidence-based model of financial planning drawing upon the behavioral finance, neureconomics, evolutionary psychology, and coaching literature.
The Psychology Of Money: Beyond Behavioral Finance, Cicily Maton, William Marty Martin
The Psychology Of Money: Beyond Behavioral Finance, Cicily Maton, William Marty Martin
William Marty Martin
Behavioral finance has attracted the attention of both academics and practitioners. This article explores the roots of behavioral finance, psychology, and showns how these principles are actually used in practice.
Healthcare Could Your Organization Save Money With Complementary And Alternative Medicine?, William Martin, Hugh Long
Healthcare Could Your Organization Save Money With Complementary And Alternative Medicine?, William Martin, Hugh Long
William Marty Martin
Some evidence suggests complementary and alternative medicine could reduce costs and improve efficiency while increasing patient satisfaction.
Technical Analysis: The Interface Of Rational And Irrational Decision Making, William Marty Martin
Technical Analysis: The Interface Of Rational And Irrational Decision Making, William Marty Martin
William Marty Martin
No abstract provided.
The Walmart Effect: Retailing Of Health Care, William Marty Martin
The Walmart Effect: Retailing Of Health Care, William Marty Martin
William Marty Martin
No abstract provided.
Socially Responsible Investing: The United Nations Principles, William Marty Martin
Socially Responsible Investing: The United Nations Principles, William Marty Martin
William Marty Martin
No abstract provided.
Complementary And Alternative Medicine: Opportunities And Challenges, William Marty Martin, Hugh Long
Complementary And Alternative Medicine: Opportunities And Challenges, William Marty Martin, Hugh Long
William Marty Martin
Health care finance is complex in all sectors of the health care industry. This article highlights both the challenges and opportunities of financing and reimbursing care with a focus on CAM providers and CAM provider organizations.
Quality Models: Selecting The Best Model To Deliver Results, William Martin
Quality Models: Selecting The Best Model To Deliver Results, William Martin
William Marty Martin
No abstract provided.
Managing Unmanageable Physicians: Leadership, Stewardship, And Disruptive Behavior, Tim Keogh, William Martin
Managing Unmanageable Physicians: Leadership, Stewardship, And Disruptive Behavior, Tim Keogh, William Martin
William Marty Martin
Physician and health care leaders are seeking guidance and support on how to address disruptive behavior that has an impact on safety, quality, and performance. This article equips leaders with a model and process to prevent and address disruptive behavior.
Positively Influencing Physicians: The Levers Of Influence, William Marty Martin
Positively Influencing Physicians: The Levers Of Influence, William Marty Martin
William Marty Martin
No abstract provided.