Current Health Care Issues - 1459 Words

Current Health Care Issues HCS/545 Camille Fuller University of Phoenix The health care industry exist to provide preventative measures, diagnose health conditions, repair, and provide services to improve the quality of life. The cost of health care continues to rise each year. Health care fraud is a factor that continues to plague the health care industry. The affect health care fraud has on hospitals, is the increasing cost of medical services. The following research will examine and evaluate how organizational structure and governance, culture and the lack of focus on social responsibility affects on health care fraud. The following research will also include recommendations for prevention of health care fraud, recommendations for†¦show more content†¦The previous organizational structure for payment of services rendered did not allow officials enough time to investigate claims to ensure the claims were legitimate. Perpetrators study the law and use the knowledge to fraud insurance and government agencies. The governance of rules, regulation s and laws was not stringent enough to stop perpetrators from frauding the system. New guidelines allow agencies more time to detect suspicious claims, investigate and save the insurance companies millions of dollars. Society does not concentrate on proactive actions to prevent fraud, instead society deals with the problem after the fact. Consumer watch groups do not have tools in place to prevent fraud. Perpetrators rely on the oversites of insurance companies in order to target and fraud insurance companies. Insurance companies and the federal government should pool resources using a percentage of profits to finance a task force to arrestively fight fraud. The penalty for fraud should be more stringent which will cause perpetrators to think twice before formulating a plan to commit fraud. The Affordable Health Care Act is the beginning of many programs established to fight against fraud. Health care fraud is a growing problem and should be taken more seriously by citizens of the United States. Physicians, health care workers, and patients are responsible forShow MoreRelatedCurrent Health Care Issues Essay examples1651 Words   |  7 PagesOrganizational Responsibility amp; Current Health Care Issues HCS - 545 11/19/2012 Organizational Responsibility amp; Current Health Care Issues In todays modern world with plenty of technology, it is hard to believe that we cannot figure out how to reduce Medical errors. The issue of medical error is not new in health care organizations. It has been in spot light since 1990s, when government did research on sudden increase in number of death in the hospitals. According to Lester, HRead MoreCurrent Issue Of High Administrative Cost Of Health Care998 Words   |  4 Pagesthe most developed countries and spends 18% of its GDP for providing health care to Americans. Although, it spends highest amount of money compared to other developed nations, it significantly lacks behind in improving access, quality, and cost. In terms of cost, there is a great deal of changes that must be implemented to make health care affordable to everyone. There is a major issue of high administrative cost of health care yielding high insurance rates. Despite having the most advance technologyRead MoreHealth Policy Issues863 Words   |  4 PagesProb ably the most media related topic of health policy issue in the forefront today is the current Patient Protection and Affordable Care Act (PPACA). 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