The sleeping watch dog: aka the Securities and Exchange Commission
Purpose - The purpose of this paper is to expose inefficient regulatory policies and organizational weaknesses at the Securities and Exchange Commission (SEC) that have contributed to a series of regulatory oversights that have produced some of the largest fraud schemes perpetrated on investors. Design/methodology/approach - Sources of information consisted of scholarly articles and articles retrieved from the web. Findings - Findings suggest that although weaknesses that have been exposed at the SEC may not account for any one securities fraud oversight, cumulatively, the weaknesses create negative synergy that increases the probability that a regulatory oversight will occur. Originality/value - This paper serves as a useful guide to alert and educate securities regulators and enforcement, regardless of the country they may operate in, to examine their own regulatory policies and organizational structures for weakness that may be similar to the SEC.
Leadership Strategies and Initiatives for Combating Medicaid Fraud and Abuse
Leadership Strategies and Initiatives for Combating Medicaid Fraud and Abuse by Krista K. Laursen MS, University of Washington, 1992 BS, University of Oregon, 1989 Doctoral Study Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Business Administration Walden University July 2013 Abstract An estimated 3-10% of the $2 trillion spent annually on health care in the United States is lost to fraud. Improper payments undermine the integrity and financial sustainability of the Medicaid program and affect the ability of federal and state governments to provide health care services for individuals and families living at or below the poverty level. This study explored how health care leaders in the state of Arizona described factors contributing to the invisible nature of Medicaid fraud and abuse and necessary strategies for counteracting the business opportunities of Medicaid fraud and abuse. The institutional choice analytic framework grounded the study. Data were gathered from the review of documents and information received from 10 interviews with health care leaders responsible for the administration, delivery, and regulation of Medicaid services in Arizona. Collected data were coded to identify underlying themes. Key themes that emerged from the study included the need for health care leaders to use modern technologies to combat Medicaid fraud and abuse and concentrate and strengthen Medicaid fraud and abuse mitigation efforts at the state level. Study data might contribute to social change by identifying Medicaid fraud and abuse mitigation strategies that willAn estimated 3-10% of the $2 trillion spent annually on health care in the United States is lost to fraud. Improper payments undermine the integrity and financial sustainability of the Medicaid program and affect the ability of federal and state governments to provide health care services for individuals and families living at or below the poverty level. This study explored how health care leaders in the state of Arizona described factors contributing to the invisible nature of Medicaid fraud and abuse and necessary strategies for counteracting the business opportunities of Medicaid fraud and abuse. The institutional choice analytic framework grounded the study. Data were gathered from the review of documents and information received from 10 interviews with health care leaders responsible for the administration, delivery, and regulation of Medicaid services in Arizona. Collected data were coded to identify underlying themes. Key themes that emerged from the study included the need for health care leaders to use modern technologies to combat Medicaid fraud and abuse and concentrate and strengthen Medicaid fraud and abuse mitigation efforts at the state level. Study data might contribute to social change by identifying Medicaid fraud and abuse mitigation strategies that will protect the financial and structural integrity of the Medicaid program, ensuring Americans living at or below the poverty level have access to quality health care services. Leadership Strategies and Initiatives for Combating Medicaid Fraud and Abuse by Krista K. Laursen MS, University of Washington, 1992 BS, University of Oregon, 1989 Doctoral Study Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Business Administration
European Consumer Access to Justice Revisited
Part I. Setting the Stage: Access to Justice 2.0: 1. At the very outset 2. Access to justice 2.0: breaking it into pieces Part II. Procedural Law: The Traditional Pillar of Access to Justice 2.0: 3. A brief outline of the developments at the pan-EU level 4. Prime examples 5. Compensatory collective redress: the next step? 6. Where to go from here? Part III. Substantive Law: Complementing Access to Justice 2.0: 7. Widening the scope of the value-oriented justice discussion 8. Substantive consumer law-making in the course of time 9. Recent trends and developments 10. The common European sales law 11. Summarising comments on the defragmentation of substantive consumer laws in the context of the CRD and the CESL Part IV. Consumer Access to Justice 2.0: A Multidimensional Framework: 12. From the current state of consumer law to consumer access to justice 2.0 13. The justice debate and consumer legislation 14. (Responses to) counter-arguments to third-party intervention 15. Consumer empowerment 16. Lessons to be drawn.