Quality in Primary Care Open Access

Department of Public Administration, University of Illinois Springfield, Springfield, United States

Publications

• Research Article   
  From Allegations to Actions: Examining the Impact of Fraud Reporting Mechanisms in Healthcare
  Author(s): Isaac Asamoah Amponsah*
  
  Introduction: The U.S. healthcare sector is characterized by a diverse mix of public and private funding and provision, resulting in a lack of a singular governing philosophy. Both the public and private sectors are known for providing high-quality medical services. However, since 1980, healthcare spending in the U.S. has substantially increased. The immense size and financial resources of the healthcare sector make it a prominent target for fraudulent activities. Aim: This study investigated the impact of collaborative efforts between Managed Care Organizations (MCOs) and oversight agencies on the detection and reduction of healthcare fraud within the Illinois Medicaid program. Method: This study examines how collaboration between MCOs and oversight agencies impacts healthcare fraud in Illinois Medicaid. A FOIA re.. View More»
  

  DOI: 10.36648/1479-1064.33.1.50

  Abstract HTML PDF