Which of the following actions would help decrease the total health care costs in the United States?
a. Consolidate major health care facilities while expanding neighborhood primary care clinics
b. Continue the move to computer-based medical records and other efficiencies in informatics
c. Decrease current fraud and abuse
d. Streamline and make more consistent all documents needed for third-party reimbursement
ANS: C
The billions of dollars spent on health care and struggles for control between providers, consumers, and health care organizations have increased the risk of fraud and abuse. The Federal Bureau of Investigation (FBI) estimates that health care fraud costs the U.S. $80 billion annually (FBI, 2012). Thus, decreasing the fraud and abuse in the system would have the largest impact over any of the other proposed actions.
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