Trillion Dollar Scam: Exploding Health Care Fraud

Universal-Publishers
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Fraud is the result of government and insurance company control of health care. The growth of bureaucracy is a precursor to incompetence and soaring costs of medical care. A lack of clinical diagnosis and a dependence on expensive testing has increased costs while decreasing the doctor's competence. The FBI and the attorneys general of all states are dealing with exploding health care fraud. The result is a trillion dollars in waste and deception. Trillion Dollar Scam details the origin of this fraud and waste, and offers solutions to fixing the broken U.S. health care system.
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Publisher
Universal-Publishers
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Published on
Dec 31, 2008
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Pages
200
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ISBN
9781599429564
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Language
English
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Genres
Business & Economics / Insurance / General
Business & Economics / Insurance / Health
Law / Criminal Law / General
Law / Medical Law & Legislation
Medical / Diagnosis
Medical / Health Care Delivery
Medical / Health Policy
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Content Protection
This content is DRM protected.
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Eligible for Family Library

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Heading into 2014, American businesses face an important decision about health care: Opt in or opt out?

With the Patient Protection and Affordable Care Act, or Obamacare, in effect, companies with more than 50 employees will either offer health care benefits or face penalties. And the choice isn’t as straightforward as it may sound—in many instances, some companies could save money by paying the fines rather than funding a health care plan. Others would lose money if they dropped coverage.

Most employers would like to offer the benefit, but it needs to be truly affordable.

Fortunately, the stampede of innovations introduced in the private sector over the last decade has simplified the decision; health costs can be managed if corporate managers make it a strategic priority.

John Torinus Jr., author of The Company That Solved Health Care, the eye-opening book detailing one company’s game-changing health care program, now gives Opt Out on Obamacare, Opt Into the Private Health Care Revolution, a game plan for improving workforce health and dramatically lowering health costs.

Unlike the new national law, it concentrates on management science, not politics. Innovative corporations have engaged their employees in taming the hyper-inflation that has plagued the health care industry for decades. CEOs, CFOs, and COOs in front-running companies are deploying management disciplines and marketplace principles to invent a better business model for health care. They are bending the curve, and this book shows you how to follow suit.
Innovation in medical technology generates a remarkable supply of new drugs, devices, and diagnostics that improve health, reduce risks, and extend life. But these technologies are too often used on the wrong patient, in the wrong setting, or at an unaffordable price. The only way to moderate the growth in health care costs without undermining the dynamic of medical innovation is to improve the process of assessing, pricing, prescribing, and using new technologies. Purchasing Medical Innovation analyzes the contemporary revolution in the purchasing of health care technology, with a focus on the roles of the Food and Drug Administration (FDA), Medicare and private health insurers, physicians and hospitals, and consumers themselves. The FDA is more thoroughly assessing product performance under real-world conditions as well as in laboratory settings, accelerating the path to market for breakthroughs while imposing use controls on risky products. Insurers are improving their criteria for coverage and designing payment methods that reward efficiency in the selection of new treatments. Hospitals are aligning adoption of complex supplies and equipment more closely with physicians’ preferences for the best treatment for their patients. Consumers are becoming more engaged and financially accountable for their health care choices. This book describes both the strengths and deficiencies of the current system of purchasing and highlights opportunities for buyers, sellers, and users to help improve the value of medical technology: better outcomes at lower cost.
Health has been one of the most frequent issues arising in the Social Policy debate for the last 60 or more years. The answers given vary according to political ideology, economic expediency, and the moral standing of individuals and society. The sources of funding are essentially two: either the individual directly, or a larger group acting on his behalf. In the second case, we have two main categories. The individual is either covered by private for-profit insurance, or by a public insurance scheme financed by mandatory employment contributions and/or by taxes on income and/or wealth. The economic implications of each form of health insurance are immense—for individuals, employers, the government, and for the economy as a whole. The main differentiation is the position of health care in the value system of society. If health care is considered a right, its financing must be similar to that of other public goods or rights such as justice, national security, personal safety, basic education, etc. At the same time, the provision of all public goods is a public responsibility and government is judged by how well it measures up to this responsibility. If, on the other hand, health care is considered a good, bought and sold on the market, then it is up to individuals to provide for themselves. Obviously, this fundamental issue belongs to the sphere of politics and is up to society to judge, according to its code of ethics. The time to decide has come in America, somewhat belatedly, but in a way more acute than ever. The health of individuals, but also and mainly the economic health of the nation, depends on the decision.
Has your doctor lied to you?


Eat low-fat and high-carb, including plenty of "healthy" whole grains—does that sound familiar? Perhaps this is what you were told at your last doctor's appointment or visit with a nutritionist, or perhaps it is something you read online when searching for a healthy diet. And perhaps you've been misled. Dr. Ken Berry is here to dispel the myths and misinformation that have been perpetuated by the medical and food industries for decades.


This updated and expanded edition of Dr. Berry's bestseller Lies My Doctor Told Me exposes the truth behind all kinds of "lies" told by well-meaning but misinformed medical practitioners. Nutritional therapy is often overlooked in medical school, and the information provided to physicians is often outdated. However, the negative consequences on your health remain the same. Advice to avoid healthy fats and stay out of the sun has been proven to be detrimental to longevity and wreak havoc on your system. In this book, Dr. Berry will enlighten you about nutrition and life choices, their role in our health, and how to begin an educated conversation with your doctor about finding the right path for you.


This book will teach you:

- how doctors are taught to think about nutrition and other preventative health measures, and how they should be thinking

- how the Food Pyramid and MyPlate came into existence and why they should change

- the facts about fat intake and heart health

- the truth about the effects of whole wheat on the human body

- the role of dairy in your diet

- the truth about salt—friend or foe?

- the dangers and benefits of hormone therapy

- new information about inflammation and how it should be viewed by doctors


Come out of the darkness and let Ken Berry be your guide to optimal health and harmony!

A New York Times bestseller/Washington Post Notable Book of 2017/NPR Best Books of 2017/Wall Street Journal Best Books of 2017 

"This book will serve as the definitive guide to the past and future of health care in America.”—Siddhartha Mukherjee, Pulitzer Prize-winning author of The Emperor of All Maladies and The Gene  

At a moment of drastic political upheaval, An American Sickness is a shocking investigation into our dysfunctional healthcare system - and offers practical solutions to its myriad problems.

In these troubled times, perhaps no institution has unraveled more quickly and more completely than American medicine. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that vulnerable and sick Americans place in their healthcare. Our politicians have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life; fatalism has set in. Very quickly Americans have been made to accept paying more for less. How did things get so bad so fast?

Breaking down this monolithic business into the individual industries—the hospitals, doctors, insurance companies, and drug manufacturers—that together constitute our healthcare system, Rosenthal exposes the recent evolution of American medicine as never before. How did healthcare, the caring endeavor, become healthcare, the highly profitable industry? Hospital systems, which are managed by business executives, behave like predatory lenders, hounding patients and seizing their homes. Research charities are in bed with big pharmaceutical companies, which surreptitiously profit from the donations made by working people. Patients receive bills in code, from entrepreneurial doctors they never even saw. 

The system is in tatters, but we can fight back. Dr. Elisabeth Rosenthal doesn't just explain the symptoms, she diagnoses and treats the disease itself. In clear and practical terms, she spells out exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship and to hospital C-suites, explaining step-by-step the workings of a system badly lacking transparency. This is about what we can do, as individual patients, both to navigate the maze that is American healthcare and also to demand far-reaching reform. An American Sickness is the frontline defense against a healthcare system that no longer has our well-being at heart.
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