Organizational Responsibility and Current Health Care Issues
Renae Hoag
HCS/545
April 21, 2014
Victor Gibb

Organizational Responsibility and Current Health Care Issues
Health care fraud is a current health care issue throughout the health care industry. Health care fraud is considered abuse to the public treasury. “The National Health Care Anti-Fraud Association (NHCAA) estimates that health care fraud accounts for at least three, but as much as ten percent of total health care expenditures”(Hubbell, 2006). “Because health care fraud costs taxpayers more than $13.3 billion a year, seven federal and state agencies have made health care fraud prosecution a primary focus” (Hubbell, 2006). “The federal government concentrates on detecting and prosecuting health care fraud in its health care insurance programs, Medicare and Medicaid” (Hubbell, 2006). Health care organizations that receive payment from the Social Security Act are more likely to become targets of health care fraud with Medicare and Medicaid. There are many organizations that have been accused of health care fraud with Medicare and/or Medicaid.
Maxim Healthcare Services is one of the health care organizations that have been accused of health care fraud. The organizational structure and governance, culture and focus on social responsibility had an affect or influenced the situation of health care fraud and abuse. There are resources that can be allocated to prevent the situation in the future. Ethical issues were considered and tied into the prevention decision. Changes in structure, governance, culture, or focus on social responsibility could prevent this situation from happening in the future.
Health Care News Situation
Maxim Healthcare Services is a private company that has over 360 offices nationwide that offer home health care services. “From 2003 to 2009, fraudulent billings and false