Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Health care fraud and abuse paper introduction
Essays on healthcare fraud
Essays on healthcare fraud
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Health care fraud and abuse paper introduction
Adverse selection is a precontractual problem that arises from hidden information about risks, quality, or character in transactions where one party is more informed than the other (Froeb, McCann, Shor & Ward, 2018). A prime example of adverse selection is that of the falsification of a person’s residential address in order to obtain a lower rate of auto insurance. Undenounced to the insurance company, a person may actually live in a highly populated high crime area but instead reports that they live in a low crime suburb. This can be applied to any other type of insurance as well. For instance, if an applicant, in an attempt to pay a lower premium, manages to veritably report that he works in a one-story office when, in truth, he is a large-scale construction worker, the insurance company would be making an adverse selection by approving his application (Adverse Selection, n.d.). Thus, such falsification protects the insured person from paying a high premium while putting the insurance company at a higher risk.
In order for the insurance company to protect itself from adverse selection,
…show more content…
Insured customers exercise less care because they have less incentive to do so (Froeb, McCann, Shor & Ward, 2018). In the case of dental insurance, those who are uninsured have a greater motivation to take better care of their teeth as dental work can be particularly expensive, especially without insurance. Therefore, the financial ramifications of not being insured and needing an intensive dental treatment can prompt a person to take better care of their teeth. On the other hand, those who are insured have less of an incentive to take precautionary steps in order to ensure that they do not necessitate additional dental care. Additionally, it is worth to mention that certain other factors play into incentivizing both insured and uninsured patients; non-monetary
Hanson, J. R. (n.d.). Fraud or confusion? RDH Magazine, 19(4). Retrieved 3 15, 2014, from http://www.rdhmag.com/articles/print/volume-19/issue-4/feature/fraud-or-confusion.html
The hidden bias test by Project Implicit was interesting method of determining hidden biases. A hidden bias is, “Biases thought to be absent or extinguished remain as "mental residue" in most of us.”(Teaching Tolerance, 2014). Studies have shown a link between biases and behavior and biases can be revealed through an individual’s actions. If biases are revealed through actions then they must be learned. Teaching Tolerance indicates, “Bias is perpetuated by conformity with in-group attitudes and socialization by the culture at large.” (Teaching Tolerance, 2014). This perspective supports the belief which biases are learned and never forgotten and reestablished through behavior. My perception of biases is they are formed through experiences not group conformity. Culture is important influence in forming biases, yet biases can change. According to Teaching Tolerance, even if a bias still changes it lingers in the unconscious. An interesting perspective, biases continue to stay with each of us even if we think it is hidden.
This paper will discuss the aspects of the forth amendment rights in relation to the exclusionary rule, exceptions and holding. The facts on deterrence in court and evaluating the ins and outs of the exclusionary rule what is acceptable and admissible and inadmissible in the United States courts and Supreme Court. This paper will exhibit the constitutional and unconstitutional rights and laws. The future goals of the exclusionary rule and instruction of ethical and unethical choices by officers in relation to law enforcement.
According to “Racism Statistics and Facts” by Abdul Malik Mujahid, Abdul Malik Mujahid, science and technology, tribalism, racism, nationalism colonialism and caste system has caused about sixty two million deaths in last hundred years. Race and Ethnicity are the main concepts in sociology. Our generation has advanced in many aspects and still is advancing. Although being surrounded by advanced generation, people still have racial and stereotypical views towards many kinds of race and ethnicity; most of the people discriminate certain people due to their membership in a different group . American Indian, African American, Latino/ Latina, Mexican American, Cuban American, Asian American, Arab American, White
A lot of people that go without preventative care treatment would most likely prevent them from suffering later down the road. Seventy percent of uninsured men who are the correct age for prostate cancer screening don’t have these tests done. Is it such a wonder why they don’t do this? Maybe it is because there isn’t any insurance to cover these tests. Also, forty six percent of all uninsured women who are the correct age for mammograms don’t have them. It’s such a shame that these people go without these, which in the end could detect diseases and prevent it all before they get sicker. (Sullivan) Consequently, people who are uninsured die earlier than those who are insured. They simply...
Health insurance and health outcomes are closely associated. If the same uninsured individual instead has continuous health insurance, he or she will not be at risk for premature death and will have better health outcome (Marwick 2002). Uninsured people report that they are in poorer health than people with health insurance. Low levels of self-reported health status are a powerful predictor of future illness and premature death (Bailey 2009).
Health insurance, too many American citizens, is not an option. However, some citizens find it unnecessary. Working in the health care field, I witness the effects of uninsured patients on medical offices. Too often, I see a “self-pay” patient receive care from their doctor and then fail to pay for it. Altogether, their refusal to pay leaves the office at a loss of money and calls for patients to pay extra in covering for the cost of the care the uninsured patient received. One office visit does not seem like too big of an expense, but multiple patients failing to pay for the care they receive adds up. Imagine the hospital bills that patients fail to pay; health services in a hospital are double, sometimes triple, in price at a hospital. It is unfair that paying patients are responsible for covering these unpaid services. Luckily, the Affordable Care Act was passed on March 23, 2010, otherwise known as Obamacare. Obamacare is necessary in America because it calls for all citizens to be health insured, no worrying about pre-existing conditions, and free benefits for men and women’s health.
There are a variety of options chosen that determine an individual’s insurance premium. One option in determining cost are the controllable factors individuals choose when...
While both race and gender have very real societal and, in some instances, personal consequences which enables both to be categorized as real neither race nor gender is more real than the other. Both of them faced and still face overt and covert discrimination, and both of them are built upon a mountain of logical fallacies that are able to ultimately be reduced down to societal standards and obligations forced upon them by the dominant group. Since they are also both deeply embedded in our culture they have become integrated into our sense of who we, as humans, are and in our perceptions of other people and situations.
This document will examine racial discrimination during jury selections. Beginning with the background history, will demonstrate how racial discriminating came into play. George Stinny, and Emmett Till and other African americans are victims who both had been racially discriminated against. Supreme Court rulings will be a guide to help understand each of the cases and how they each helped change the justice system.
Racism can take on many forms that plague the brain with irrationality that affects an individual’s thoughts and actions. Racism can be a physical form, through an external action, or can branch off into unethical thoughts. This is more known to be a discriminative thought, judging a person based on impressions. This social problem can also be ignored by the oblivious persons of the crowd. Many individuals speak out about how racial tension is long gone and forever forgotten ever since the first African-American was elected to be president in 2008, but this can be evidently proven false. Racial tension is still here to target the minorities in the forms of affirmative action and Ferguson conflicts.
For hundreds of years, racial discrimination has been occurring in our society affecting families and underprivileged kids. Therefore, the racial slurs and the actions towards one another is based off bias, where we grew up and how we were raised as a child individually. From past experiences, to our current lifestyle, there will always be a discriminate person or group protesting and starting new revolutions because of the hatred and undoing actions that have occurred in our past society. Racism and bias opinions are understandable because they derive from from a person’s cultural influences, exposure to dominant racial organizations, and the tendency to conform to expected stereotypes.
Health insurance facilitates entry into the health care system. Uninsured people are less likely to receive medical care and more likely to have poor health. Many Americans are foregoing medical care because they cannot afford it, or are struggling to pay their medical bills. “Adults in the US are more likely to go without health care due to cost” (Schoen, Osborn, Squires, Doty, & Pierson, 2010) Many of the currently uninsured or underinsured are forced accept inferior plans with large out-of-pocket costs, or are not be able to afford coverage offered by private health insurers. This lack of adequate coverage makes it difficult for people to get the health care they need and can have a particularly serious impact on a person's health and stability.
Prejudice and discrimination have both been prevalent throughout human history. Prejudice deals with the inflexible and irrational attitudes and opinions that are held by others of one group against those of another. Discrimination on the other hand refers to the behaviors directed against another group. Prejudiced individuals have preconceived beliefs about groups of people or cultural practices. There are both positive and negative forms of prejudice, however, the negative form of prejudice leads to discrimination. Individuals that practice discrimination do so to protect opportunities for themselves, by denying access to those whom they believe do not deserve the same treatment as everyone else. An example of discrimination based on prejudice involves the Jews. “Biased sentiments and negative stereotypes of Jews have been a part of Western tradition for centuries and, in fact, have been stronger and more vicious in Europe than in the United States. For nearly two millennia, European Jews have been chastised and persecuted as the “killers of Christ” and stereotyped as materialistic moneylenders and crafty business owners (Healey, p.65). The prejudice against these groups led to the discrimination against them.
Discrimination is a feasible method of making decisions in life based on the group, class, or category to which a person belongs to. “In an ideal world, people would be equal in rights, opportunities, and responsibilities, despite their race or gender. In the world we live in, however, we constantly face all kinds of neglect based on different attributes.” When one hears the word discrimination, the first thought that comes to mind is racial discrimination. In fact, it does not solely have to be racial discrimination. There are many forms of discrimination such as age, disability, transgender, and sex discrimination. This paper will focus on discrimination based on gender, race and age in the workplaces.