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'''Health Law
{{Infobox General Outline
WVU College of Law
| subject        = Health Law
Spring 2007
| book_one        = Health Law: Cases, Materials and Problems Furrow
Furrow, et al. Health Law: Cases, Materials and Problems(5th ed., 2004)
| book_two        = The Law of American Health Care
}}
{{Outline stub}}
==Introduction==


===The American health care system===


Introduction'''
==Cost, quality & access==


1. The American health care system
==Reform options==


2. Cost, quality & access
===Consumer-Directed health care===


3. Reform options
===WV reforms===


    • Consumer-Directed health care
==Public Health Care Systems==


    • WV reforms
===Medicare===
 
'''Public Health Care Systems'''
 
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'''
==Regulation of Private Health Care Markets==


7. State law:
===State law===


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


    • Non-statutory duty to provide care?
====Non-statutory duty to provide care?====


    • Liability in contract & tort  
====Liability in contract & tort====


    • State regulation of insurance & managed care
====State regulation of insurance & managed care====


8. Federal regulation of private health care markets:
===Federal regulation of private health care markets===


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


    • EMTALA
====EMTALA====


    • Title VI
====Title VI====


    • ERISA preemptions
====ERISA preemptions====


    • HIPAA, ADA & COBRA
====HIPAA, ADA & COBRA====


    • False Claims I
====False Claims I====


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


    • Fraud & Abuse
====Fraud & Abuse====


    • Stark II
====Stark II====


    • Antitrust:  Cartels
====Antitrust:  Cartels====


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


'''Health Care Professionals'''
==Health Care Professionals==


9. Professional relationships in health care:
===Professional relationships in health care===


    • Staff privileges
====Staff privileges====


    • Payor contracts
====Payor contracts====


    • Labor & employment
====Labor & employment====


      o  At-will
=====At-will=====


      o  NLRB
=====NLRB=====


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


    • Disclosure of financial incentives
====Disclosure of financial incentives====


'''Nonprofit health care organizations'''
==Nonprofit health care organizations==


10. Health care organizations:
===Health care organizations===


    • Legal forms
====Legal forms====


    • Governance
====Governance====


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


    • Tax-exempt health care organizations
====Tax-exempt health care organizations====


    • Joint ventures with charities
====Joint ventures with charities====


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

Latest revision as of 17:09, April 10, 2024

Health Law
Relevant texts Image of Health Law: Cases, Materials and Problems (American Casebook Series)
Health Law: Cases, Materials and Problems (American Casebook Series)


Image of The Law of American Health Care
The Law of American Health Care


Related course(s)
This outline has not yet been created or needs significant work. You can be among the first to contribute! To start, just copy and paste your class notes, another outline, or even the course syllabus (note that you may not submit copyrighted materials without the author's permission). Others will pick up where you leave off.

Also please try to fill in some of the blanks to the right of the equal signs in the General Outline Infobox (click on the link for instructions). Thanks for participating!

Introduction[edit | edit source]

The American health care system[edit | edit source]

Cost, quality & access[edit | edit source]

Reform options[edit | edit source]

Consumer-Directed health care[edit | edit source]

WV reforms[edit | edit source]

Public Health Care Systems[edit | edit source]

Medicare[edit | edit source]

Eligibility & benefits[edit | edit source]

Medicare Part D[edit | edit source]

Medicare reimbursement[edit | edit source]

Medicaid[edit | edit source]

Eligibility & benefits[edit | edit source]

Medicaid reimbursement[edit | edit source]

Medicaid federalism[edit | edit source]

SCHIP[edit | edit source]

WV Programs[edit | edit source]

State Rx benefit programs[edit | edit source]

WV Rx Council[edit | edit source]

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

WV health care reforms[edit | edit source]

Regulation of Private Health Care Markets[edit | edit source]

State law[edit | edit source]

Introduction to insurance & managed care[edit | edit source]

Non-statutory duty to provide care?[edit | edit source]

Liability in contract & tort[edit | edit source]

State regulation of insurance & managed care[edit | edit source]

Federal regulation of private health care markets[edit | edit source]

The Internal Revenue Code[edit | edit source]

EMTALA[edit | edit source]

Title VI[edit | edit source]

ERISA preemptions[edit | edit source]

HIPAA, ADA & COBRA[edit | edit source]

False Claims I[edit | edit source]

False Claims II & qui tam[edit | edit source]

Fraud & Abuse[edit | edit source]

Stark II[edit | edit source]

Antitrust: Cartels[edit | edit source]

Antitrust: Provider-controlled networks[edit | edit source]

Health Care Professionals[edit | edit source]

Professional relationships in health care[edit | edit source]

Staff privileges[edit | edit source]

Payor contracts[edit | edit source]

Labor & employment[edit | edit source]

At-will[edit | edit source]
NLRB[edit | edit source]

Corporate practice of medicine[edit | edit source]

Disclosure of financial incentives[edit | edit source]

Nonprofit health care organizations[edit | edit source]

Health care organizations[edit | edit source]

Legal forms[edit | edit source]

Governance[edit | edit source]

Transactions with tax-exempts[edit | edit source]

Tax-exempt health care organizations[edit | edit source]

Joint ventures with charities[edit | edit source]

NFP conversions & sales[edit | edit source]