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
