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David W. Barnes,John M. Conley

The Law of Health Care Organization and Finance

The Law of Health Care Organization and Finance

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This book is designed for a specialized health law course focusing on the organization and financing of health care. It covers payment systems, organizational structures, legal concerns, and quality control efforts and includes classroom teaching tools.

Format: Paperback / softback
Length: 922 pages
Publication date: 30 April 2022
Publisher: West Academic Publishing


This comprehensive textbook is meticulously crafted to cater to the demands of a specialized health law course, with a primary emphasis on the organization and financing of healthcare. Its versatility makes it an ideal resource for health law courses in health administration, business, and health policy and management programs alike. The book commences by delving into the fundamental concepts that shape the landscape of cost, quality, access, and equity in healthcare. It then proceeds to introduce the economic principles and analytical tools employed in health policy and reform initiatives. Extensive coverage is provided, encompassing payment systems such as Medicare, Medicaid, and private insurance, their profound impact on the structure of the healthcare delivery system, and the emergence of alternative payment models like accountable care organizations. The book also surveys the organizational frameworks and legal relationships within health care enterprises.

In its exploration of legal concerns, the book delves into various aspects, including the enduring influence of the Affordable Care Act, comprehensive updates on fraud and abuse laws, robust antitrust enforcement measures, ERISA regulations, and the specific requirements for tax-exempt entities. Several chapters focus on the legal framework for quality control efforts, encompassing professional licensure, institutional licensure and certification, and non-discrimination requirements. As in previous editions, the authors have included classroom teaching tools that engage students in addressing legal, policy, and practical issues. These tools encompass a diverse range of materials, including problems that stimulate student engagement and facilitate the exploration of legal, policy, and real-world scenarios. These materials are drawn from a wide array of sources, including judicial opinions, statutes, regulations, agency guidance, and other reputable sources.


Dimension: 254 x 186 (mm)
ISBN-13: 9781684677139
Edition number: 9 Revised edition

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