Healthcare Fraud Essays(Examples)
Study Document
Fraud And Abuse In Healthcare
fraud and abuse present significant problems for the healthcare sector, leading to both financial losses and reduced quality of care. The outcomes of fraud and abuse are similar; but fraud and abuse are legally differentiated based on motive. According to Magellan healthcare (2019), fraud is committed with clear intent, whereas abuse “involves actions that are inconsistent with sound fiscal, business or accepted behavioral healthcare practices,” (p. 1). Determining intent to differentiate between fraud and abuse can be challenging, which is why healthcare leaders need to treat all forms of waste and deception with equal severity.
healthcare fraud is alarmingly common, with major cases resulting in FBI investigations. Just yesterday, ten retired NFL players have been charged in a case involving … common, with major cases resulting in FBI investigations. Just yesterday, ten retired NFL players have been charged in a case involving “alleged nationwide fraud” on a healthcare benefit program……
References
References
FBI (2019). Healthcare fraud news. Retrieved from https://www.fbi.gov/investigate/white-collar-crime/health-care-fraud/health-care-fraud-news
“Fraud and Abuse: What’s the Difference?” (2007). The Rheumatologist. 1 Nov, 2007. Retrieved from https://www.the-rheumatologist.org/article/fraud-and-abuse-whats-the-difference/
Magellan Healthcare (2019). Fraud, waste, and abuse. Retrieved from https://www.magellanprovider.com/education/fraud-waste-and-abuse/fraud-waste-abuse-faqs.aspx
Study Document
Fiscal Health Of Public Administration
… This would cut down on abuses in the delivery of public services by reducing the ability of individuals in public administration engage in fraud or deny people services that are their rightful due.
Third, using virtual learning systems can promote the application of free education and training ……
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Abiad, A. & Khatiwada, S. (2019). 5 ways technology is improving governance, public service delivery in developing Asia. Retrieved from https://blogs.adb.org/blog/5-ways-technology-improving-governance-public-service-delivery-developing-asia
Florida Tech. (2019). Five global trends in public administration. Retrieved from https://www.fit.edu/your-college-decision/trends-in-public-administration/
McDonald, B. (2017). Measuring the fiscal health of municipalities. Retrieved from https://www.lincolninst.edu/sites/default/files/pubfiles/mcdonald_wp17bm1.pdf
VCU. (2019). Public personnel administration. Retrieved from https://commed.vcu.edu/IntroPH/Management/management/personnel.html
Study Document
Social Work Policy For Sex Trafficking
… transferring, harboring, or receiving of individuals, by way of either threat or through use of force as well as other kinds of intimidation, fraud, trickery, abuse of power or authority, capitalizing on the position of susceptibility, or giving or receiving of payments, or benefits to attain the ……
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References
Alliance to End Slavery and Trafficking. (2017). Summary of the Trafficking Victims Protection Act (TVPA) and Reauthorizations FY 2017. Retrieved from: https://endslaveryandtrafficking.org/summary-trafficking-victims-protection-act-tvpa-reauthorizations-fy-2017-2/
Benoit, C., Smith, M., Jansson, M., Healey, P., & Magnuson, D. (2019). “The prostitution problem”: Claims, evidence, and policy outcomes. Archives of Sexual Behavior, 48(7), 1905-1923.
Brooks, A., & Heaslip, V. (2019). Sex trafficking and sex tourism in a globalized world. Tourism Review of AIEST - International Association of Scientific Experts in Tourism, 74(5), 1104-1115. doi:http://dx.doi.org/10.1108/TR-02-2017-001
Bruckert, C., & Parent, C. (2002). Trafficking in human beings and organized crime: A literature review (pp. 1-35).
Clawson, H. J., Dutch, N., Solomon, A., & Grace, L. G. (2009). Human trafficking into and within the United States: A review of the literature. Washington, DC: Office of the Assistant Secretary for Planning and Evaluation, US Department of Human and Health Services. Retrieved December 25, 2009.
Greenbaum, V. J. (2017). Child sex trafficking in the United States: Challenges for the healthcare provider. PLoS medicine, 14(11).
International Labour Organization. (2017). Global Estimates of Modern Slavery. Retrieved from: https://www.ilo.org/wcmsp5/groups/public/---dgreports/---dcomm/documents/publication/wcms_575479.pdf
Kelly, C. (July 30, 2019). 13 sex trafficking statistics that explain the enormity of the global sex trade. USA Today. Retrieved from: https://www.usatoday.com/story/news/investigations/2019/07/29/12-trafficking-statistics-enormity-global-sex-trade/1755192001/
Study Document
Shareholder Vs Stakeholder Theory
… stakeholder theory needs to be pursued instead of shareholder theory, and it will explain why starting with Friedman’s own words.
Without Deception or fraud
Friedman believed that if a corporation is doing right by shareholders, the rest will take care of itself. The problem is that times … by the Securities and Exchange Commission (SEC) (Reda, 2018). That is significant because Friedman qualified his statement with the words “without deception or fraud.” The reason corporate share buybacks were illegal prior to 1982 was precisely because it was viewed as a form of market manipulation—corporations propping … precisely the problems of what happens when corporations stop acting ethically. They become destroyers rather than supporters of communities. When they engage in fraud and deception they undermine their own sustainability, which is exactly what one is likely to see in the long run with companies like ……
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References
Augustine. (n.d.). Commentaries on Sermon on the Mount. http://www.newadvent.org/fathers/16011.htm
Chen, J. (2019). Market Milestones as the Bull Market Turns 10. Retrieved from https://www.investopedia.com/market-milestones-as-the-bull-market-turns-10-4588903
Egan, M. (2018). Tax cut triggers $437 billion explosion of stock buybacks. Retrieved from https://money.cnn.com/2018/07/10/investing/stock-buybacks-record-tax-cuts/index.html
Henrich, S. (2019). Unholy alliance. Retrieved from https://northmantrader.com/2019/11/30/unholy-alliance/
Laux, C., & Leuz, C. (2010). Did fair-value accounting contribute to the financial crisis?. Journal of economic perspectives, 24(1), 93-118.
Light, L. (2019). More than Half of All Stock Buybacks are Now Financed by Debt. Here’s Why That’s a Problem. Retrieved from https://fortune.com/2019/08/20/stock-buybacks-debt-financed/
Mullen, C. (2019). People want to buy \\\\\\'local\\\\\\' food, but they\\\\\\'re not sure what it means. Retrieved from https://www.bizjournals.com/bizwomen/news/latest-news/2019/05/people-want-to-buy-local-food-but-theyre-not-sure.html?page=all
Putka, G. (2019). Insiders are selling. Retrieved from https://www.washingtonpost.com/business/economy/company-insiders-are-selling-stock-during-buyback-programs-and-making-additional-profits-when-stock-prices-jump-and-its-legal/2019/11/06/fc592f58-e493-11e9-a331-2df12d56a80b_story.html
Study Document
Enterprise Risk Management In Wells Fargo During The Pandemic
… stand to improve. It lacks a proper assessment of reputation risk and fiduciary risk as it continues to face scandals like the 2016 fraud scandal and the current exploitative use of……
References
References
Beasley, M. (2020). How to Leverage ERM Principles to Better Respond to COVID-19-Related Risks. ERM Professional Insights.
Derysh, I. (2020). Watchdog questions why Wells Fargo reported giving only one large PPP loan to a Black-owned business. Retrieved from https://www.salon.com/2020/07/22/watchdog-questions-why-wells-fargo-reported-giving-only-one-large-ppp-loan-to-a-black-owned-business/
English, C. (2020). Wells Fargo Forced to Cut Its Dividend After Fed Stress Test. Here’s What Other Banks Did. Retrieved from https://www.barrons.com/articles/wells-fargo-forced-to-cut-its-dividend-after-fed-stress-test-51593467664
Hall, J. (2007). Internal Auditing and ERM: Fitting in and Adding Value. Retrieved from https://global.theiia.org/about/about-the-iia/Public Documents/Sawyer_Award_2007.pdf
Kaplan, R. & Mikes, A. (2012). Managing risks: A new framework. Harvard Business Review, 3.
Lewis, M. (2010). The Big Short. NY: W. W. Norton.
Lundqvist, S. (2014). Abandoning Silos for Integration: Implementing Enterprise Risk Management and Risk Governance. Lund University.
Morgenson, G. (2020). More Wells Fargo customers say the bank decided to pause their mortgage payments without asking. Retrieved from https://www.nbcnews.com/business/personal-finance/more-wells-fargo-customers-say-bank-decided-pause-their-mortgage-n1234610
Study Document
CEOs And Presidents
… succeeded at leading Johnson & Johnson for the past 8 years. Skilling failed in his leadership role at Enron and was jailed for fraud. Musk has seen a string of successes and failures during the course of his tenure as head of Tesla. This paper discusses their ……
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References
Bromley, H. R. (2007). Are you a transformational leader?. Physician Executive, 33(6), 54.
Brown, M. E., & Treviño, L. K. (2014). Do role models matter? An investigation of role modeling as an antecedent of perceived ethical leadership. Journal of Business Ethics, 122(4), 587-598.
Chamers, M.M. (2014). An Integrative Theory of Leadership (4thed.). New York, NY: Psychology Press.
De Vries, M.F.K. (1998). Charisma in action: The transformational abilities of Virgin's Richard Branson and ABB's Percy Barnevik. Organizational Dynamics, 26(3), 7-21.
Healthcare Technology Report. (2019). Alex Gorsky is the all-American CEO. Retrieved from https://thehealthcaretechnologyreport.com/alex-gorsky-is-the-all-american-ceo/
Holmes, A. (2007). Ethics: Approaching moral decisions. Downers Grove, IL: InterVarsity Press.
Kameda, T., Ohtsubo, Y., & Takezawa, M. (1997). Centrality in sociocognitive networks and social influence: An illustration in a group decision-making context. Journal of personality and social psychology, 73(2), 296.
Kolodny, L. (2018). Elon Musk’s extreme micromanagement has wasted time and money at Tesla, insiders say. Retrieved from https://www.cnbc.com/2018/10/19/tesla-ceo-elon-musk-extreme-micro-manager.html
Study Document
Social Distancing As A New Normal Is Enslavement
...Healthcare fraud Speech to My Peers on Rebelling Against Social Distancing as the New Normal
The new normal they say—that is what it has come down to for us! They have decided to dictate the terms for us with regard to how we are now to live our lives. They know what is best for us, what is best for our health, what is best for our world. These tin pot dictators have determined a collective course of action, agreed upon behind closed doors, and have issued their executive decisions, making laws left and right that limit your freedom and curtail your civil liberties. They have robbed from you your very right to work, to earn a living for yourself. In what sane world does one man have the right to deny another the ability to work? You cannot take a man’s work away from him—for then what is he but a……
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