Jump to ContentJump to Main Navigation
Phantom Billing, Fake Prescriptions, and the High Cost of MedicineHealth Care Fraud and What to Do about It$
Users without a subscription are not able to see the full content.

Terry L. Leap

Print publication date: 2011

Print ISBN-13: 9780801449796

Published to Cornell Scholarship Online: August 2016

DOI: 10.7591/cornell/9780801449796.001.0001

Show Summary Details
Page of

PRINTED FROM Cornell University Press SCHOLARSHIP ONLINE (www.cornell.universitypressscholarship.com). (c) Copyright University of Cornell University Press, 2022. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in Cornell for personal use. date: 26 June 2022

Conclusion

Conclusion

Chapter:
(p.177) Conclusion
Source:
Phantom Billing, Fake Prescriptions, and the High Cost of Medicine
Author(s):

Terry L. Leap

Publisher:
Cornell University Press
DOI:10.7591/cornell/9780801449796.003.0007

This book concludes by revisiting several broad questions that are integral to health care fraud and abuse: whether the current definitions of “fraud” and “abuse” are too broad; whether certain institutional arrangements such as fee-for-service systems or capitation plans are more (or less) conducive to fraud and abuse; and how effective the current laws and regulations for fighting health care fraud are. It also considers the role of for-profit health care in reducing fraud, along with health care arrangements, financial incentives, and technologies that can be used to curb fraud and abuse. Finally, it proposes a two-pronged approach to reducing health care fraud and abuse: first, recognizing that fraud and abuse start with health care providers and second, educating health care consumers about the impact of fraud and abuse on their lives and how they can take an active role in reporting and stopping it.

Keywords:   health care fraud, fee-for-service systems, capitation plans, laws, regulations, for-profit health care, financial incentives, health care providers, health care consumers

Cornell Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.

Please, subscribe or login to access full text content.

If you think you should have access to this title, please contact your librarian.

To troubleshoot, please check our FAQs, and if you can't find the answer there, please contact us.