Health Care Fraud and Abuse: A Tale of Behavior Induced by Payment Structure

Authors

Arti K. Rai, Duke Law SchoolFollow

Document Type

Article

Publication Date

2001

Abstract

The campaign to curtail "fraud and abuse" in the Medicare and Medicaid programs represents an attempt by regulators to evade more fundamental and difficult questions regarding cost and quality control. In the Medicare arena, tackling these larger questions will require dismantling the program's fee-for-service structure and imposing on providers financial incentives to evaluate carefully health care costs and benefits. Commentary on, David A. Hyman, Health Care Fraud and Abuse: Market Change, Social Norms and the Trust "Reposed in Workmen," 30 Journal of Legal Studies 531 (2001)

Citation

Arti K. Rai, Health Care Fraud and Abuse: A Tale of Behavior Induced by Payment Structure, 30 Journal of Legal Studies 579-587 (2001)