HCS/545 Organizational Responsibility and Current Health Care Issues
This assignment covers organizational responsibility and key current issues in healthcare, analyzing the challenges faced by healthcare systems.
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Organizational Responsibility and Current Health Care Issues
Name:
HCS/545
Date:
Examine the case of Maxim Healthcare Services and its involvement in health care fraud.
Discuss how the organization’s structure, governance, culture, and focus (or lack thereof) on
social responsibility contributed to the fraudulent activities. Additionally, analyze the ethical
issues surrounding the situation and explore how government resources, such as the Health Care
Fraud Prevention and Enforcement Action Team (HEAT) and the Affordable Care Act, can help
prevent similar fraud in the future. Based on your analysis, recommend changes to Maxim
Healthcare Services' structure, governance, culture, and social responsibility initiatives that could
mitigate the risk of fraud and promote ethical business practices.
Your response should demonstrate a thorough understanding of organizational responsibility,
ethical frameworks, and how health care organizations can ensure compliance with legal and
ethical standards.
Word count requirement: 1,500-2,000 words.
Name:
HCS/545
Date:
Examine the case of Maxim Healthcare Services and its involvement in health care fraud.
Discuss how the organization’s structure, governance, culture, and focus (or lack thereof) on
social responsibility contributed to the fraudulent activities. Additionally, analyze the ethical
issues surrounding the situation and explore how government resources, such as the Health Care
Fraud Prevention and Enforcement Action Team (HEAT) and the Affordable Care Act, can help
prevent similar fraud in the future. Based on your analysis, recommend changes to Maxim
Healthcare Services' structure, governance, culture, and social responsibility initiatives that could
mitigate the risk of fraud and promote ethical business practices.
Your response should demonstrate a thorough understanding of organizational responsibility,
ethical frameworks, and how health care organizations can ensure compliance with legal and
ethical standards.
Word count requirement: 1,500-2,000 words.
Organizational Responsibility and Current Health Care Issues
Health care fraud is a current health care issue throughout the health care industry. Health
care fraud is considered abuse to the public treasury. “The National Health Care Anti-Fraud
Association (NHCAA) estimates that health care fraud accounts for at least three, but as much as
ten percent of total health care expenditures”(Hubbell, 2006). “Because health care fraud costs
taxpayers more than $13.3 billion a year, seven federal and state agencies have made health care
fraud prosecution a primary focus” (Hubbell, 2006). “The federal government concentrates on
detecting and prosecuting health care fraud in its health care insurance programs, Medicare and
Medicaid” (Hubbell, 2006). Health care organizations that receive payment from the Social
Security Act are more likely to become targets of health care fraud with Medicare and Medicaid.
There are many organizations that have been accused of health care fraud with Medicare and/or
Medicaid.
Maxim Healthcare Services is one of the health care organizations that have been accused of
health care fraud. The organizational structure and governance, culture and focus on social
responsibility had an affect or influenced the situation of health care fraud and abuse. There are
resources that can be allocated to prevent the situation in the future. Ethical issues were
considered and tied into the prevention decision. Changes in structure, governance, culture, or
focus on social responsibility could prevent this situation from happening in the future.
Health Care News Situation
Health care fraud is a current health care issue throughout the health care industry. Health
care fraud is considered abuse to the public treasury. “The National Health Care Anti-Fraud
Association (NHCAA) estimates that health care fraud accounts for at least three, but as much as
ten percent of total health care expenditures”(Hubbell, 2006). “Because health care fraud costs
taxpayers more than $13.3 billion a year, seven federal and state agencies have made health care
fraud prosecution a primary focus” (Hubbell, 2006). “The federal government concentrates on
detecting and prosecuting health care fraud in its health care insurance programs, Medicare and
Medicaid” (Hubbell, 2006). Health care organizations that receive payment from the Social
Security Act are more likely to become targets of health care fraud with Medicare and Medicaid.
There are many organizations that have been accused of health care fraud with Medicare and/or
Medicaid.
Maxim Healthcare Services is one of the health care organizations that have been accused of
health care fraud. The organizational structure and governance, culture and focus on social
responsibility had an affect or influenced the situation of health care fraud and abuse. There are
resources that can be allocated to prevent the situation in the future. Ethical issues were
considered and tied into the prevention decision. Changes in structure, governance, culture, or
focus on social responsibility could prevent this situation from happening in the future.
Health Care News Situation
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Document Details
University
University of Phoenix
Subject
Healthcare