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'''Health Law
Associated text: Furrow, et al. Health Law:  Cases, Materials and Problems(5th ed., 2004)
WVU College of Law
Spring 2007
Furrow, et al. Health Law:  Cases, Materials and Problems(5th ed., 2004)


==Introduction==


Introduction'''
===The American health care system===


1. The American health care system
==Cost, quality & access==


2. Cost, quality & access
==Reform options==


3. Reform options
===Consumer-Directed health care===


    • Consumer-Directed health care
===WV reforms===


    • WV reforms
==Public Health Care Systems==


'''Public Health Care Systems'''
===Medicare===
 
4. Medicare
   
   
    • Eligibility & benefits
====Eligibility & benefits====


    • Medicare Part D
====Medicare Part D====


    • Medicare reimbursement
====Medicare reimbursement====


5. Medicaid
===Medicaid===


    • Eligibility & benefits
====Eligibility & benefits====


    • Medicaid reimbursement
====Medicaid reimbursement====


    • Medicaid federalism
====Medicaid federalism====


    • SCHIP
====SCHIP====


6. WV Programs:
===WV Programs===


    • State Rx benefit programs
====State Rx benefit programs====


    • WV Rx Council http://www.state.wv.us/got/pharmacycouncil/  
====WV Rx Council====
http://www.state.wv.us/got/pharmacycouncil/
    
    
    • WV health care reforms
====WV health care reforms====
 
'''Regulation of Private Health Care Markets'''


7. State law:
==Regulation of Private Health Care Markets==


    • Introduction to insurance & managed care
===State law===


    • Non-statutory duty to provide care?
====Introduction to insurance & managed care====


    • Liability in contract & tort
====Non-statutory duty to provide care?====


    • State regulation of insurance & managed care
====Liability in contract & tort====


8. Federal regulation of private health care markets:
====State regulation of insurance & managed care====


    • The Internal Revenue Code
===Federal regulation of private health care markets===


    • EMTALA
====The Internal Revenue Code====


    • Title VI
====EMTALA====


    • ERISA preemptions
====Title VI====


    • HIPAA, ADA & COBRA
====ERISA preemptions====


    • False Claims I
====HIPAA, ADA & COBRA====


    • False Claims II & qui tam
====False Claims I====


    • Fraud & Abuse
====False Claims II & qui tam====


    • Stark II
====Fraud & Abuse====


    • Antitrust:  Cartels
====Stark II====


    • Antitrust:  Provider-controlled networks
====Antitrust:  Cartels====


'''Health Care Professionals'''
====Antitrust:  Provider-controlled networks====


9. Professional relationships in health care:
==Health Care Professionals==


    • Staff privileges
===Professional relationships in health care===


    • Payor contracts
====Staff privileges====


    • Labor & employment
====Payor contracts====


      o  At-will
====Labor & employment====


      o  NLRB 
=====At-will=====


    • Corporate practice of medicine
=====NLRB=====


    • Disclosure of financial incentives
====Corporate practice of medicine====


'''Nonprofit health care organizations'''
====Disclosure of financial incentives====


10. Health care organizations:
==Nonprofit health care organizations==


    • Legal forms
===Health care organizations===


    • Governance
====Legal forms====


11. Transactions with tax-exempts:
====Governance====


    • Tax-exempt health care organizations
===Transactions with tax-exempts===


    • Joint ventures with charities
====Tax-exempt health care organizations====


    • NFP conversions & sales
====Joint ventures with charities====


====NFP conversions & sales====


[[Category:Outlines]]
[[Category:Outlines]]

Revision as of 02:55, May 29, 2007

Associated text: Furrow, et al. Health Law: Cases, Materials and Problems(5th ed., 2004)

Introduction

The American health care system

Cost, quality & access

Reform options

Consumer-Directed health care

WV reforms

Public Health Care Systems

Medicare

Eligibility & benefits

Medicare Part D

Medicare reimbursement

Medicaid

Eligibility & benefits

Medicaid reimbursement

Medicaid federalism

SCHIP

WV Programs

State Rx benefit programs

WV Rx Council

http://www.state.wv.us/got/pharmacycouncil/

WV health care reforms

Regulation of Private Health Care Markets

State law

Introduction to insurance & managed care

Non-statutory duty to provide care?

Liability in contract & tort

State regulation of insurance & managed care

Federal regulation of private health care markets

The Internal Revenue Code

EMTALA

Title VI

ERISA preemptions

HIPAA, ADA & COBRA

False Claims I

False Claims II & qui tam

Fraud & Abuse

Stark II

Antitrust: Cartels

Antitrust: Provider-controlled networks

Health Care Professionals

Professional relationships in health care

Staff privileges

Payor contracts

Labor & employment

At-will
NLRB

Corporate practice of medicine

Disclosure of financial incentives

Nonprofit health care organizations

Health care organizations

Legal forms

Governance

Transactions with tax-exempts

Tax-exempt health care organizations

Joint ventures with charities

NFP conversions & sales