744: Regulation of Healthcare Providers

Healthcare providers (primarily physicians, hospitals and nursing homes) are subject to an array of state and Federal regulation, which regulation is not the result of a comprehensive scheme to implement a coherent and internally consistent policy. The result is a complex set of laws that often reflect the “health care policy of the moment” when they were adopted. Since the passage of the Medicare and Medicaid Patient and Program Protection Act in 1987, the regulation of provider conduct has increased significantly, including an increase in the scope of criminal sanctions and in the severity of civil penalties. This course will cover this largely unordered set of laws regulating provider conduct.