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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 Nov 2016

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 ...


Collaborating With A Financial Therapist: The Why, Who, What And How, Cicily Maton, Michelle Maton, William Marty Martin Jan 2010

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 Apr 2009

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 Jan 2009

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 Nov 2008

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 Feb 2008

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 Dec 2007

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 Oct 2007

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 Dec 2006

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 Aug 2004

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 Dec 1998

Positively Influencing Physicians: The Levers Of Influence, William Marty Martin

William Marty Martin

No abstract provided.