Healthcare Corruption

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Crossing the Global Quality Chasm

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309477891
Total Pages : 399 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Crossing the Global Quality Chasm by : National Academies of Sciences, Engineering, and Medicine

Download or read book Crossing the Global Quality Chasm written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-01-27 with total page 399 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.

Integrity, Transparency and Corruption in Healthcare & Research on Health, Volume I

Author : Kıymet Tunca Çalıyurt
Publisher : Springer Nature
ISBN 13 : 9811514240
Total Pages : 266 pages
Book Rating : 4.8/5 (115 download)

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Book Synopsis Integrity, Transparency and Corruption in Healthcare & Research on Health, Volume I by : Kıymet Tunca Çalıyurt

Download or read book Integrity, Transparency and Corruption in Healthcare & Research on Health, Volume I written by Kıymet Tunca Çalıyurt and published by Springer Nature. This book was released on 2020-02-03 with total page 266 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book grapples with the numerous risks organizations face in order to succeed. These include economic risks, disaster risks, supply-chain risks, regulatory risks, and technology risks, all of which affect organizations in different ways and in varying degrees. Referencing Mahatma Gandhi’s seven unethical behaviors in the business world—wealth without work, pleasure without conscience, knowledge without character, commerce without morality, science without humanity, religion without sacrifice, and politics without principle—the authors analyze the healthcare sector. As competition in the health sector increases, there has also been a rise in unethical behavior. Corruption in the health sector results in severe consequences as it could affect the health of millions. This volume explores fraud schemes and cases, legislation to avoid cheating, lack of law, transparency, ethical issues, corporate governance and transparency in the health and pharmaceutical sector bringing together the perspectives of practitioners, professionals, as well as academic authors.

Healthcare Fraud, Corruption and Waste in Europe

Author : Misja Mikkers
Publisher :
ISBN 13 : 9789462366855
Total Pages : 0 pages
Book Rating : 4.3/5 (668 download)

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Book Synopsis Healthcare Fraud, Corruption and Waste in Europe by : Misja Mikkers

Download or read book Healthcare Fraud, Corruption and Waste in Europe written by Misja Mikkers and published by . This book was released on 2017 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The lack of well-documented, factual information on fraud, waste and corruption in the healthcare sector is an important ally for those who would seek to abuse healthcare systems for their own profit. Our lack of knowledge of the incidence, nature and extent of fraud, waste and corruption in healthcare is a threat to the establishment of effective counter-fraud strategies. It prevents those who finance healthcare provision from understanding in clear and quantifiable terms the need to invest resources into counter-fraud activities. As a consequence, fraud remains a matter of moral hazard and healthcare systems continue to suffer considerable financial damage, as well as all the associated consequences for the quality of care that patients receive. It was for these reasons that the 'European Healthcare Fraud and Corruption Network' (EHFCN) and the 'Dutch Healthcare Authority' (NZa, member of EHFCN) decided to collaborate to publish this book... --

Profiteering, Corruption and Fraud in U.S. Health Care

Author :
Publisher :
ISBN 13 : 9781938218279
Total Pages : 206 pages
Book Rating : 4.2/5 (182 download)

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Book Synopsis Profiteering, Corruption and Fraud in U.S. Health Care by :

Download or read book Profiteering, Corruption and Fraud in U.S. Health Care written by and published by . This book was released on 2020-06 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt: Profiteering, corruption and fraud are emblematic of our profit-driven, corporatized marketplace and so-called health care system. The three bleed into each other in an entangled way, and they are even increasing. We have to ask and answer: who is the health care system for- profits for health care corporations, their shareholders, and Wall Street traders and investors? for the corrupt and fraudulent scammers? or for patients, their families, and taxpayers? The urgent need for health care reform is at an all-time high as the U. S. struggles to deal with the COVID-19 pandemic and the recession certain to follow. We are far behind other advanced nations with one or another system of universal coverage. Incremental attempts to reform U. S. health care have failed for many years. Our broken system is no longer affordable for patients, families, and taxpayers. This book updates where we are with the untenable status quo and compares three major alternatives for reform-building on the ACA, the public option, and Medicare for All.

Healers or Predators?

Author : Samiran Nundy
Publisher : Oxford University Press
ISBN 13 : 0199095779
Total Pages : 703 pages
Book Rating : 4.1/5 (99 download)

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Book Synopsis Healers or Predators? by : Samiran Nundy

Download or read book Healers or Predators? written by Samiran Nundy and published by Oxford University Press. This book was released on 2018-06-29 with total page 703 pages. Available in PDF, EPUB and Kindle. Book excerpt: For every story of optimism about the growth of medical tourism to India, there are multiple others about medical neglect. Scratch the surface and you find a thick layer of corruption in this life-sustaining sector. This hard-hitting volume shows a mirror to society and, more specifically, to those associated with the health sector—on how healers, in many cases, are shifting shape to becoming predators. In the essays by contributors from within and outside the medical fraternity, we see the many faces, the many facets of corruption—from exorbitant billing by corporate hospitals to the non-merit-based selection in medical colleges to questionable motives playing strong in the area of organ transplantation. But Healers or Predators? is not only about the illness affecting the sector. It also offers solutions, and some stories of hope. The Foreword by Amartya Sen is an added bonus. ‘This splendid, if depressing, book will do a lot to remedy [the] momentous neglect [of healthcare]. We have excellent reasons to be grateful to the authors and editors of this important collection of investigative studies.’—Amartya Sen

License To Steal

Author : Malcolm K Sparrow
Publisher : Basic Books
ISBN 13 : 0465010741
Total Pages : 306 pages
Book Rating : 4.4/5 (65 download)

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Book Synopsis License To Steal by : Malcolm K Sparrow

Download or read book License To Steal written by Malcolm K Sparrow and published by Basic Books. This book was released on 2007-12-14 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: Who steals? An extraordinary range of folk -- from low-life hoods who sign on as Medicare or Medicaid providers equipped with nothing more than beepers and mailboxes, to drug trafficking organizations, organized crime syndicates, and even major hospital chains. In License to Steal, Malcolm K. Sparrow shows how the industry's defenses, which focus mostly on finding and correcting billing errors, are no match for such well orchestrated attacks. The maxim for thieves simply becomes "bill your lies correctly." Provided they do that, fraud perpetrators with any degree of sophistication can steal millions of dollars with impunity, testing payment systems carefully, and then spreading fraudulent billings widely enough across patient and provider accounts to escape detection. The kinds of highly automated, quality controlled claims processing systems that pervade the industry present fraud perpetrators with their favorite kind of target: rich, fast paying, transparent, utterly predictable check printing systems, with little threat of human intervention, and with the U.S. Treasury on the end of the electronic line. Sparrow picks apart the industry's response to the government's efforts to control this problem. The provider associations (well heeled and politically influential) have vociferously opposed almost every recent enforcement initiative, creating the unfortunate public impression that the entire health care industry is against effective fraud control. A significant segment of the industry, it seems, regards fraud and abuse not as a problem, but as a lucrative enterprise worth defending. Meanwhile, it remains a perfectly commonplace experience for patients or their relatives to examine a medical bill and discover that half of it never happened, or that; likewise, if patients then complain, they discover that no one seems to care, or that no one has the resources to do anything about it. Sparrow's research suggests that the growth of capitated managed care systems does not solve the problem, as many in the industry had assumed, but merely changes its form. The managed care environment produces scams involving underutilization, and the withholding of medical care schemes that are harder to uncover and investigate, and much more dangerous to human health. Having worked extensively with federal and state officials since the appearance of his first book on this subject, Sparrow is in a unique position to evaluate recent law enforcement initiatives. He admits the "war on fraud" is at least now engaged, but it is far from won.

Tackling Wasteful Spending on Health

Author : OECD
Publisher : OECD Publishing
ISBN 13 : 9264266410
Total Pages : 306 pages
Book Rating : 4.2/5 (642 download)

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Book Synopsis Tackling Wasteful Spending on Health by : OECD

Download or read book Tackling Wasteful Spending on Health written by OECD and published by OECD Publishing. This book was released on 2017-01-10 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: Countries could potentially spend significantly less on health care with no impact on health system performance, or on health outcomes. This report reviews strategies put in place by countries to limit ineffective spending and waste.

Deadly Medicines and Organised Crime

Author : Peter Gotzsche
Publisher : CRC Press
ISBN 13 : 1908911123
Total Pages : 251 pages
Book Rating : 4.9/5 (89 download)

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Book Synopsis Deadly Medicines and Organised Crime by : Peter Gotzsche

Download or read book Deadly Medicines and Organised Crime written by Peter Gotzsche and published by CRC Press. This book was released on 2019-08-21 with total page 251 pages. Available in PDF, EPUB and Kindle. Book excerpt: PRESCRIPTION DRUGS ARE THE THIRD LEADING CAUSE OF DEATH AFTER HEART DISEASE AND CANCER. In his latest ground-breaking book, Peter C Gotzsche exposes the pharmaceutical industries and their charade of fraudulent behaviour, both in research and marketing where the morally repugnant disregard for human lives is the norm. He convincingly draws close co

Healthcare Corruption

Author : Graham Brooks
Publisher : Springer Nature
ISBN 13 : 3031589424
Total Pages : 236 pages
Book Rating : 4.0/5 (315 download)

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Book Synopsis Healthcare Corruption by : Graham Brooks

Download or read book Healthcare Corruption written by Graham Brooks and published by Springer Nature. This book was released on with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Undercover

Author : John W. Schilling
Publisher : AuthorHouse
ISBN 13 : 1452055084
Total Pages : 306 pages
Book Rating : 4.4/5 (52 download)

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Book Synopsis Undercover by : John W. Schilling

Download or read book Undercover written by John W. Schilling and published by AuthorHouse. This book was released on 2010-09 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: When John Schilling, an unassuming midlevel accountant, joined Columbia Healthcare Corporation -- the nation's fastest growing and revolutionary network of public hospitals -- it seemed like the start of an exciting new career with great advancement and earnings potential. He never expected to become a catalyst for the series of "whistleblower" lawsuits that ripped through the healthcare industry in the late 1990s In Undercover, John Schilling tells the story of his harrowing journey from ordinary citizen and loyal employee to covert FBI informant and top witness for the Justice Department in the largest criminal healthcare fraud case in U.S. history. It began when he stumbled upon evidence-- a $3.5 million accounting "error"--of his company's routine practice of defrauding Medicare. When pressured to comply with stealing from taxpayers, Schilling knew he had to speak up for what he believed was right, regardless of the cost to his job, his reputation, and his family. His courageous choice would consume the next seven years of his life, leading to more drama, angst, turmoil, and money than he could have imagined. Ultimately, Schilling's moral conviction and a little known law, the False Claims Act, paid off by forcing the formidable healthcare conglomerate of Columbia/HCA to pay back $1.7 billion to the federal government. Revealing the personal side of a thankless role, Undercover is a gripping and inspiring account of a long, hard, life-- changing quest for justice. ADVANCE PRAISE FOR UNDERCOVER "Undercover crackles with authenticity as it recounts in a lively, readable style how a man on the inside risked everything and blew the whistle on a giant healthcare company that was systematically looting the Medicare program out of billions. A good read for anyone, but a must-read for someone who may contemplate taking the same path as John Schilling" -- John R. Phillips, "The nation's premier whistleblowing attorney" according to the The Wall Street Journal and the National Law Journal "John Schilling's book is a must-read for whistleblowers. He shows you how hard it can be, yet also shows you how to prevail. Best of all, John shows you how to be a good citizen" -- Jim Moorman, past President, Taxpayers Against Fraud

The Political Economy of Health and Health Care

Author : Joan Costa-Font
Publisher : Cambridge University Press
ISBN 13 : 1108474977
Total Pages : 237 pages
Book Rating : 4.1/5 (84 download)

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Book Synopsis The Political Economy of Health and Health Care by : Joan Costa-Font

Download or read book The Political Economy of Health and Health Care written by Joan Costa-Font and published by Cambridge University Press. This book was released on 2020-05-28 with total page 237 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides an international, unifying perspective, based on the 'public choice' tradition, to explain how patient-citizens interact with their country's political institutions to determine health policies and outcomes. This volume will appeal to undergraduate and graduate students studying health economics, health policy and public policy.

Integrity, Transparency and Corruption in Healthcare & Research on Health, Volume II

Author : Kıymet Tunca Çalıyurt
Publisher : Springer Nature
ISBN 13 : 9819955025
Total Pages : 256 pages
Book Rating : 4.8/5 (199 download)

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Book Synopsis Integrity, Transparency and Corruption in Healthcare & Research on Health, Volume II by : Kıymet Tunca Çalıyurt

Download or read book Integrity, Transparency and Corruption in Healthcare & Research on Health, Volume II written by Kıymet Tunca Çalıyurt and published by Springer Nature. This book was released on 2023-11-02 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book continues the discussion from Volume I on the risks organizations face in order to succeed with a special focus on the challenges brought on by the COVID-19 virus crisis. Taking on an interdisciplinary focus, the book brings together research from academics and practitioners from all over the world. Topics considered range from corruption in the health sector and COVID-19, eHealth efforts of countries during the pandemic, and fiscal policies and transparency in data sharing for effective management of the pandemic to a path forward to achieve health for all.

Global Corruption Report 2006

Author : Transparency International
Publisher : Pluto Press
ISBN 13 : 9780745325088
Total Pages : 0 pages
Book Rating : 4.3/5 (25 download)

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Book Synopsis Global Corruption Report 2006 by : Transparency International

Download or read book Global Corruption Report 2006 written by Transparency International and published by Pluto Press. This book was released on 2005-12-20 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: TI has once again shown its ability to combine research and policy analysis not just to shine a light on the deeply embedded problems of corruption ... but to propose progressive solutions. Former World Bank President James Wolfensohn on the Global Corruption ReportIn the health sector, corruption is a matter of life or death. It can take many forms: from medical professionals who sell medicines or services that should be freely available, to high-level government officials who embezzle money from health budgets, to pharmaceutical companies that buy influence over research agendas. The impact of corruption is always felt by the end user -- the sick person who is forced to pay over the odds or who is given unsafe, counterfeit medicines. The 2006 edition of Transparency International’s Global Corruption Report shows the impact that corruption has on health care in rich and poor countries. From high-level bribery in Costa Rica to informal payments in Hungary, case studies from around the world explore the characteristics of the health sector that make it so prone to corruption. In a special section dedicated to corruption in HIV/AIDS, the report warns that the large sums being poured into fighting the world’s deadliest diseases need to be safeguarded against abuse. There is also a detailed analysis of the problems of the pharmaceutical system.The report also offers an annual round-up of worldwide developments and tracks major trends in more than 40 countries.The Global Corruption Report 2006 is the only report of its kind, and is an essential reference source for anyone who wants the latest research on how corruption affects everything from health to education and the oil and gas industries.

The Price We Pay

Author : Marty Makary
Publisher : Bloomsbury Publishing USA
ISBN 13 : 1635574129
Total Pages : 305 pages
Book Rating : 4.6/5 (355 download)

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Book Synopsis The Price We Pay by : Marty Makary

Download or read book The Price We Pay written by Marty Makary and published by Bloomsbury Publishing USA. This book was released on 2019-09-10 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: New York Times bestseller Business Book of the Year--Association of Business Journalists From the New York Times bestselling author comes an eye-opening, urgent look at America's broken health care system--and the people who are saving it--now with a new Afterword by the author. "A must-read for every American." --Steve Forbes, editor-in-chief, FORBES One in five Americans now has medical debt in collections and rising health care costs today threaten every small business in America. Dr. Makary, one of the nation's leading health care experts, travels across America and details why health care has become a bubble. Drawing from on-the-ground stories, his research, and his own experience, The Price We Pay paints a vivid picture of the business of medicine and its elusive money games in need of a serious shake-up. Dr. Makary shows how so much of health care spending goes to things that have nothing to do with health and what you can do about it. Dr. Makary challenges the medical establishment to remember medicine's noble heritage of caring for people when they are vulnerable. The Price We Pay offers a road map for everyday Americans and business leaders to get a better deal on their health care, and profiles the disruptors who are innovating medical care. The movement to restore medicine to its mission, Makary argues, is alive and well--a mission that can rebuild the public trust and save our country from the crushing cost of health care.

Institutional Corruption Theory in Pharmaceutical Industry-Medicine Relationships

Author : Anna Laskai
Publisher : Springer Nature
ISBN 13 : 3030447901
Total Pages : 298 pages
Book Rating : 4.0/5 (34 download)

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Book Synopsis Institutional Corruption Theory in Pharmaceutical Industry-Medicine Relationships by : Anna Laskai

Download or read book Institutional Corruption Theory in Pharmaceutical Industry-Medicine Relationships written by Anna Laskai and published by Springer Nature. This book was released on 2020-05-06 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book discusses the influence of the pharmaceutical industry on the practice of medicine, and the observed and potential pitfalls of such partnerships. It argues that the pharmaceutical industry has become indispensable to many of the activities of the medical profession across the pharmaceutical product lifecycle, and examines the regulatory, ethical, professional and institutional difficulties that arise from these interactions. With data drawn from over 80 qualitative accounts from medical, pharmaceutical, regulatory and healthcare professionals, this book uses both Hungary and the Netherlands as case studies to demonstrate the potential problem of undue pharmaceutical industry influence within the relationships fostered with the profession of medicine. Chapters systematically describe the lifecycle of a pharmaceutical product from research to distribution, demonstrating the interdependency of industry and medicine. Arguing that the medical profession should be a buffer between the pharmaceutical industry interests and patient interests, the book explores how undue industry influence weakens the ability of the medical profession to do so. Using the theory of institutional corruption, the book aims to analyze how conflict of interest and the weakening of institutional imperatives is a result of institutional interactions rather than individual actions. Appropriate for students and researchers of the pharmaceutical industry, corporate corruption, and those working in NGOs and policy making, this unique volume is an comprehensive look at the complex relationship between medicine and pharmacy.

Fraud and Corruption

Author : Peter C. Kratcoski
Publisher : Springer
ISBN 13 : 3319923331
Total Pages : 307 pages
Book Rating : 4.3/5 (199 download)

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Book Synopsis Fraud and Corruption by : Peter C. Kratcoski

Download or read book Fraud and Corruption written by Peter C. Kratcoski and published by Springer. This book was released on 2018-09-14 with total page 307 pages. Available in PDF, EPUB and Kindle. Book excerpt: This textbook provides an overview of the major types of fraud and corrupt activities found in private and public agencies, as well as the various methods used to prevent fraud and corruption. It explores where opportunities for fraud exist, the personal characteristics of those who engage in fraud, as well as their prevention and control. This work covers fraud in the financial sector, insurance, health care, and police organizations, as well as cybercrime. It covers the relationship between fraud, corruption, and terrorism; criminal networks; and major types of personal scams (like identity theft and phishing). Finally, it covers the prevention and control of fraud, through corporate whistle blowing, investigative reporting, forensic accounting, and educating the public. This work will be of interest to graduate-level students (as well as upper-level undergraduates) in Criminology & Criminal Justice, particularly with a focus on white collar and corporate crime, as well as related fields like business and management.

Butchered by Healthcare

Author : Robert Yoho
Publisher :
ISBN 13 : 9781735485737
Total Pages : pages
Book Rating : 4.4/5 (857 download)

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Book Synopsis Butchered by Healthcare by : Robert Yoho

Download or read book Butchered by Healthcare written by Robert Yoho and published by . This book was released on 2020-09 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: HOW YOU CAN SURVIVE "HEALTHCARE," THE LARGEST AND MOST CORRUPT INDUSTRY IN AMERICA. ?? Learn what works. ? See through the lies. ? Handle hospitals. ? Find trustworthy doctors. ? Master your drugs and quit them with confidence. ? Consider holistic medicine.Healthcare is the top cause of all our overdue debts and personal bankruptcy. Our medical spending per person is double that of other countries', but fully half the treatments are ineffective or harmful. Immense, predatory industries such as angioplasty and coronary artery bypass surgery victimize us. These procedures cause complications and deaths, but few patients survive even a day longer. Most back and endoscopic knee surgeries are equally worthless. Seventy percent of us are on prescriptions, and 20 percent take over five. One in six uses psychiatric medicine, which commonly causes irreversible brain damage and premature death. Millions are now addicted to prescription opioids. Fifty-thousand people die each year from overdoses. The FDA allows big Pharma to falsify the studies required to patent drugs. These corporations hire armies of ghostwriters to stuff websites and medical journal articles with marketing lies. Finding the truth is now nearly impossible. But all this gets overlooked as the companies pay billions of dollars in criminal settlements nearly every year. Money short-circuits everyone's integrity, but there is an alternative. Patients and doctors can still prevail. Learn the system, and you can too.