Literature DB >> 16223213

The effects of fraud on the evaluation of health care.

Paul Jesilow1.   

Abstract

Studies on health care practices, financing, and organization increasingly rely on Medicare and other expanded data sets. These studies are of critical importance for public policy and for the development of strategies to contain escalating health care costs, but they often use data that have been corrupted by fraud and abuse. Mistaken conclusions, as to the effectiveness of policy and procedures, are likely being reached in studies that have used corrupted data. Researchers need to consider the suspect nature of results obtained from the corrupted data, and determine methods for making the data more valid.

Keywords:  Empirical Approach; Health Care and Public Health

Mesh:

Year:  2005        PMID: 16223213     DOI: 10.1007/s10728-005-6452-x

Source DB:  PubMed          Journal:  Health Care Anal        ISSN: 1065-3058


  20 in total

1.  The association between for-profit hospital ownership and increased Medicare spending.

Authors:  E M Silverman; J S Skinner; E S Fisher
Journal:  N Engl J Med       Date:  1999-08-05       Impact factor: 91.245

2.  Unbundling could be costing you a bundle.

Authors:  M R Traska
Journal:  Bus Health       Date:  1990-03

3.  The effects of hospital ownership on medical productivity.

Authors:  Daniel P Kessler; Mark B McClellan
Journal:  Rand J Econ       Date:  2002

4.  Methods for using Medicare data to compare procedure rates among Asians, blacks, Hispanics, Native Americans, and whites.

Authors:  José J Escarce; Thomas G McGuire
Journal:  Health Serv Res       Date:  2003-10       Impact factor: 3.402

5.  Scientific fraud and misconduct.

Authors:  D F Klein
Journal:  J Clin Psychopharmacol       Date:  1991-12       Impact factor: 3.153

6.  Medicare coverage, supplemental insurance, and the use of mammography by older women.

Authors:  J Blustein
Journal:  N Engl J Med       Date:  1995-04-27       Impact factor: 91.245

7.  Using Medicare claims to identify second primary cancers and recurrences in order to supplement a cancer registry.

Authors:  Donna McClish; Lynne Penberthy; Amy Pugh
Journal:  J Clin Epidemiol       Date:  2003-08       Impact factor: 6.437

8.  Longevity and Medicare expenditures.

Authors:  J Lubitz; J Beebe; C Baker
Journal:  N Engl J Med       Date:  1995-04-13       Impact factor: 91.245

9.  Chronic medical illness, depression, and use of acute medical services among Medicare beneficiaries.

Authors:  Seth Himelhoch; Wendy E Weller; Albert W Wu; Gerard F Anderson; Lisa A Cooper
Journal:  Med Care       Date:  2004-06       Impact factor: 2.983

10.  Impact of the Medicare prospective payment system for hospitals.

Authors:  S Guterman; A Dobson
Journal:  Health Care Financ Rev       Date:  1986
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  3 in total

1.  The Power and Pitfalls of Big Data Research in Obstetrics and Gynecology: A Consumer's Guide.

Authors:  Amie Goodin; Chris Delcher; Chelsea Valenzuela; Xi Wang; Yanmin Zhu; Dikea Roussos-Ross; Joshua D Brown
Journal:  Obstet Gynecol Surv       Date:  2017-11       Impact factor: 2.347

2.  Potential loss of revenue due to errors in clinical coding during the implementation of the Malaysia diagnosis related group (MY-DRG®) Casemix system in a teaching hospital in Malaysia.

Authors:  S A Zafirah; Amrizal Muhammad Nur; Sharifa Ezat Wan Puteh; Syed Mohamed Aljunid
Journal:  BMC Health Serv Res       Date:  2018-01-25       Impact factor: 2.655

3.  Prospective payment systems and discretionary coding-Evidence from English mental health providers.

Authors:  Giuseppe Moscelli; Rowena Jacobs; Nils Gutacker; Maria Jose Aragón; Martin Chalkley; Anne Mason; Jan Böhnke
Journal:  Health Econ       Date:  2018-12-27       Impact factor: 2.395

  3 in total

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