Results 81 to 90 of about 161,871 (263)

Health insurance fraud rises in the United States

open access: yesBMJ, 2003
In the current economic downturn, the number of companies offering fraudulent or spurious health insurance policies is rapidly increasing in the United States. Typically, these unlicensed companies prey on small businesses and self employed people, who are desperate for affordable coverage. Patients and doctors are therefore stuck with unpaid bills and,
openaire   +2 more sources

Contrasts or Carryover? Demands–Capabilities Fit and Task‐Level Intrinsic Motivation Across the Workday

open access: yesJournal of Organizational Behavior, EarlyView.
ABSTRACT In the course of a workday, employees attend to various tasks whose challenge might be equal to, higher than, or lower than employees' present level of capabilities. Moreover, employees encounter these tasks sequentially throughout the day with different levels of prior motivation. Investigating carryover effects in motivation from one task to
Sherry (Qiang) Fu   +4 more
wiley   +1 more source

Primer on Post-Claims Underwriting [PDF]

open access: yes, 2009
Provides an overview of the practice of insurers investigating policy holders' medical histories after claims are submitted and canceling, rescinding, or limiting coverage.

core  

German doctors accused of health insurance fraud

open access: yesBMJ, 2002
A German practice association of 19 specialist doctors and a physiotherapist may have defrauded health insurance companies of a possible €10m (£6.4m; $10.1m) over the past five years. The public prosecutor for Hanover, close to where the practice is based in Burgdorf, was alerted to the association's alleged fraud by the Kassenarztliche Vereinigung ...
openaire   +2 more sources

Crisis Preparation, Capacity Building, and Community Resilience: Lessons From Maui

open access: yesNonprofit Management and Leadership, EarlyView.
ABSTRACT The 2023 Maui wildfires provide a unique context to explore the impact of nonprofit crisis networks taking a proactive role in community crisis response, leveraging resources, expertise, and networks. The Hawaiʻi Community Foundation (HCF) has been a key player in Maui's local response, providing critical support, mobilizing volunteers, and ...
Lauren Azevedo   +3 more
wiley   +1 more source

MedBlockSure: Blockchain‐based insurance system

open access: yesCognitive Computation and Systems
Health insurance plays a vital role during medical emergencies in the coverage against medical expenses. Insurance fraud is an international challenge that affects most economies worldwide.
Charu Krishna   +2 more
doaj   +1 more source

LIFE INSURANCE AGENTS’ INTENTION OF SELLING HEALTH INSURANCE TO UNHEALTHY CUSTOMERS: THE CASE OF TAIWAN [PDF]

open access: yesBusiness Excellence and Management
This study examines life insurance agents’ awareness of ethical issues, ethical attitudes, and behavioral intentions toward selling health insurance to unhealthy customers. The study further examines how ethical attitudes and intentions are influenced by
Ci-Yun HONG   +2 more
doaj   +1 more source

What Are the Provisions in the New Law for Containing Costs and How Effective Will They Be? [PDF]

open access: yes, 2010
Examines 2010 healthcare reform provisions for cost containment and quality improvement, including insurance exchanges, excise tax on high-cost plans, delivery system and payment reforms, Medicare payment cuts, and prevention and wellness ...
Stephen Zuckerman
core  

The Regulation of Private Health Insurance [PDF]

open access: yes, 2009
Provides an overview of current state and federal regulation of private health insurance, explores alternative approaches, examines arguments for and against regulatory intervention, and considers the regulation required in a reformed healthcare ...
Timothy Stoltzfus Jost
core   +1 more source

THE COMMON TYPES OF HEALTH INSURANCE FRAUD AMONG INSURED AND HEALTHCARE PROVIDER

open access: yes, 2020
Insurance fraud ranks second only to tax evasion as the costliest white-collar crime in America. The main motive in health insurance fraud is financial profit. Insurance contracts provide both the insured and healthcare provider with opportunities for exploitation.
openaire   +2 more sources

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