管理卫生保健的欺诈和变性：哥伦比亚案例

IF 0.3 Q3 LAW

REVISTA REPUBLICANA Pub Date : 2021-07-31 DOI:10.21017/rev.repub.2021.v31.a107

F. Pineda

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引用次数: 0

摘要

为什么在哥伦比亚，一些保险公司在管理医疗保健中使用狡猾、欺骗或阴谋提供医疗保健，这对一些保险公司来说都很常见。因此，有必要阐明通过各种操作机制实施欺诈和成本控制的实践的基本原理：拒绝服务的秘密行动，利用巧妙的行动发明官僚程序和改变管理的医疗保健，从欺诈的概念来看的机制，可以从两个不同的角度来理解：有利于不道德的环境和对这种现象的历史理解。

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FRAUDE Y DESNATURALIZACIÓN DE LA ASISTENCIASANITARIA GESTIONADA: EL CASO COLOMBIANO

The thesis why in Colombia is common to both some insurers as some operators,covered in managed health care, use cunning, deceit or machination in providinghealth care arises. For this reason, it is necessary to elucidate the fundamentals of practice instituting fraud and cost control through its various operatingmechanisms: secret operations to deny services, use skillful actions to inventbureaucratic procedures and denature managed healthcare, mechanisms thatare viewed from the concept of fraud and are understood from two differentareas: the environment conducive to immorality and the historicalunderstanding of the phenomenon.

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来源期刊

REVISTA REPUBLICANA LAW-

CiteScore

0.30

自引率

0.00%

发文量

期刊介绍： La Revista Republicana es una publicación semestral del Centro de Investigaciones de la Corporación Universitaria Republicana, institución universitaria ubicada en Bogotá D.C, Colombia. Tiene el propósito de visibilizar la producción académica de investigadores nacionales e internacionales concretada en artículos científicos que deben ser inéditos, resultado de proyectos de investigación preferiblemente terminados; en temas relacionados con el derecho y las ciencias sociales.