LAW 7028 :
Health Care and the Law

This introductory course will provide students with a strong foundation in the laws and regulations that impact health care in the United States. Focus with be on access, delivery and financing of public and private health care and legal frameworks that inform both historic models as well as transformative models . The course will cover an introduction to the regulatory framework including the Afforadable Care Act and macro-trends; the regulatory bodies and agencies that govern health car including the Centers for Medicare and Medicaid (CMS), the Office of the Inspector General, U.S. the Department of Justice, the Federal Trade Commission, the Office of Civil Rights; the payor system indluding Medicare, Medicaid, CHIP, charity care and private insurance; health care delivery and accreditation, licensure, The Joint Commission Certificate of Need, corporate practice of medicine, physician relationships, scope of practice; access to care including EMTALA, telemedicine, mobile heath, continuum of cares and popopulation health; corporate compliance, fraud and abuse, and goverment enforcement; non-profit versus for-profit health companies and requirements for tax exempt status; health care consolidation and antitrust, quality of care and cost of care; the furthure state. The study of the federal and state laws and regulations will include an integrated review of the polices that the laws were intended to implement and any significant challenges to the existing regulatory structures. Exam Info: Paper due during exam period.