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Healthcare Fraud & Abuse Implications of Medicare for All

Ebbert, Krista (2020) Healthcare Fraud & Abuse Implications of Medicare for All. Master Essay, University of Pittsburgh.

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Healthcare fraud and abuse laws play a critical role in protecting public health through ensuring the integrity of federal healthcare programs such as Medicare and Medicaid. Moreover, these laws help to promote public health through requiring practitioners participating in federal healthcare programs to conform to certain healthcare quality and safety standards. The Medicare for All bill establishes a single payer healthcare system run by the federal government and guarantees health insurance to every person residing in the U.S. However, the bill maintains the current healthcare fraud and abuse system despite almost doubling the number of federal healthcare beneficiaries and providers. The dramatic increase in federal healthcare beneficiaries and providers will make it difficult to ensure the integrity and protection of a universal federal healthcare system under the current healthcare fraud and abuse laws. This essay theorizes that through increased healthcare fraud and abuse education, increased use of datamining by both the government and providers, increased attention to healthcare access, and the use of Integrity Agreements and increased resources from Congress, the U.S. Department of Health and Human Services could make Medicare for All work from a healthcare fraud and abuse perspective.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairVan Nostrand, Elizabethevannostrand@pitt.eduevannostrand@pitt.eduUNSPECIFIED
Committee MemberCrossley, Marycrossley@pitt.educrossley@pitt.eduUNSPECIFIED
Date: 31 March 2020
Date Type: Submission
Number of Pages: 60
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Health Policy & Management
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 28 Aug 2020 14:36
Last Modified: 28 Aug 2020 14:36


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