License to steal: combating health care fraud.

A review of a book that discusses the extent of Medicaid and Medicare fraud and offers suggestions for combating such fraud is presented. The book reviewed is License to Steal: Why Fraud Plagues America's Health Care System, by Malcolm Sparrow. Sparrow states that the extent of fraud is never meas...

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Detalles Bibliográficos
Publicado en:Spectrum: Journal of State Government Vol. 71; no. 1; pp. 1 - 4
Autor principal: Grayson, Matt
Formato: Artículo
Publicado: Council of State Governments Winter 1998
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Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:A review of a book that discusses the extent of Medicaid and Medicare fraud and offers suggestions for combating such fraud is presented. The book reviewed is License to Steal: Why Fraud Plagues America's Health Care System, by Malcolm Sparrow. Sparrow states that the extent of fraud is never measured and is instead merely estimated, and he contends that this results in a massive underestimation in the need for fraud control methods. To handle this growing problem, Sparrow offers suggestions to lawmakers, such as educating staff about fraud indicators, and one of his recommendations is that states should carefully quantify their fraud losses before embarking on a fraud detection program.