The Impact of Costs Associated with Medicare Fraud on Quality and

Outcome of Health Care for the Elderly
Annotated Bibliography
Annotated Bibliography
Fisher, E. (2008). The impact of health care fraud on the United States
health care system. SPEA Honors Paper Series, 2 (4), 2-29.
The purpose of this article is to identify factors that result in an
increase in Medicare fraud and its impact on the cost health. Fisher
also examines the effectiveness of existing suggestions to counter the
fraud. Unfortunately, the researcher focused more on the vulnerability
of the health care system to fraud and the resulting increase in price,
thus providing little information that is useful for improvement of
quality of healthcare for the elderly.
Harwell, R. (2006). Research design in qualitative / Quantitative /
mixed methods. Minneapolis: University of Minnesota.
The author presents different methods of research design including
qualitative, quantitative, and mixed methods. The handbook provides much
information of the basic principles (such as data collection, sample
selection, and data analysis) of qualitative research to be used in the
proposed research.
Hyman, A. (2002). HIPAA and health care fraud: An empirical perspective.
Cato Journal, 22 (1), 151-175.
This article is an assessment of empirical perspective of healthcare
fraud and effectiveness of legal measure put in place to curtail the
fraud. Hyman focused on the framework on which Medicaid and Medicare
programs were formed with an objective of identifying the loopholes that
allows fraud to occur and the impact of fraud on the entire health
system. The researcher informs much of how the fraud inflates the cost
of health on the part of the government, thus limiting the effectiveness
of service delivery. However, the researcher did not address the impact
of health care fraud on quality of health care for the elderly.
Kijong, K. & Antonopoulos, R. (2011). Unpaid and paid care: The effects
of child care and elder care on the standard of living. Levy Economics,
691, 1-18.
The researchers of this article aimed at assessing the positive impacts
of social health care with a focus on paid and unpaid services for
children and the elderly. However, the research focused more on the
effect of the cost of health care on its affordability by the elderly
than the impact of Medicare fraud on the quality and outcome of health
care. The reduced focus on the fraud may reduce the significance of the
study in addressing issues arising (such as poor quality of healthcare
services and healthcare outcome) from the misappropriation and
embezzlement of Medicare funds.
Sheehan, G. & Goldner, A. (2006). Beyond the anti-Kickback statutes: New
entities, new theories in health care fraud prosecution. Journal of
Health Law, 40 (2), 1-26.
Sheehan & Goldner evaluate the effectiveness of litigations put in to
reduce fraud in the health care system, but mainly focus on
anti-kickback statutes. The article addresses the existing statutory
trends as well as developing trends that can be used to curtail fraud in
the health care system. Although the researchers address adequate
measure that can used to reduce Medicare fraud, there is little link
established in the article between these litigations and quality of
health care for the elderly.
Swartz, K. (2009). Health care for the poor: For whom, what care, and
whose responsibility? Focus, 26 (2), 69-74.
Swartz assessed the importance of health care programs (including
Medicaid and Medicare) on quality of health care for elderly and
non-elderly. The author informs much about the significance of these
programs on quality of health care, thus creating an impression of what
the beneficiaries would lose following the collapse of the programs as a
result of fraud. However, the researcher relied on the review of other
researchers, thus necessitating a field research on the topic.
Thomas, R. (2002). Qualitative research methods, data gathering and data
analysis. Auckland: University of Auckland.
This article contains useful information on methods of data collection
and analysis in qualitative research. In addition, the article informs
about the importance of using the general inductive approach in
analyzing the data in qualitative research, which is important for the
proposed research.
WHO (2006). Quality of care: A process for making strategic choices in
health systems. Geneva: WHO. Retrieved September 26, 2013, from
http://www.who.int/management/quality/assurance/QualityCare_B.Def.pdf
This article focuses on the importance of maintaining the quality of
healthcare. The organization attempts to describe the premises that
should be used when defining quality health care. This provides the
researcher of the proposed study with an understanding of what quality
health care for the elderly should be.
References
Fisher, E. (2008). The impact of health care fraud on the United States
health care system. SPEA Honors Paper Series, 2 (4), 2-29.
Harwell, R. (2006). Research design in qualitative / Quantitative /
mixed methods. Minneapolis: University of Minnesota.
Hyman, A. (2002). HIPAA and health care fraud: An empirical perspective.
Cato Journal, 22 (1), 151-175.
Kijong, K. & Antonopoulos, R. (2011). Unpaid and paid care: The effects
of child care and elder care on the standard of living. Levy Economics,
691, 1-18.
Parente, S., Schulte, B., Jost, A., Sullivan, T. & Klindworth, A.
(2012). Assessment of predictive modeling for identifying fraud within
the Medicare program. Health Management, Policy and Innovation, 1 (2),
8-36.
Sheehan, G. & Goldner, A. (2006). Beyond the anti-Kickback statutes: New
entities, new theories in health care fraud prosecution. Journal of
Health Law, 40 (2), 1-26.
Swartz, K. (2009). Health care for the poor: For whom, what care, and
whose responsibility? Focus, 26 (2), 69-74.
Thomas, R. (2002). Qualitative research methods, data gathering and data
analysis. Auckland: University of Auckland.
WHO (2006). Quality of care: A process for making strategic choices in
health systems. WHO: Geneva. Retrieved September 26, 2013, from
http://www.who.int/management/quality/assurance/QualityCare_B.Def.pdf
MEDICARE FRAUD
PAGE * MERGEFORMAT 1
MEDICARE FRAUD
PAGE *
MERGEFORMAT 2

Close Menu