The Law of Health Care Finance and Regulation, Second Edition / Edition 2

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Derived from the authors’ highly successful seventh edition of Health Care Law and Ethics, The Law of Health Care Finance and Regulation, Second Edition , concentrates on one area of health care law, allowing instructors to explore pertinent issues in more depth. As they do in the parent casebook, the authors skillfully integrate public policy and legal doctrine, and offer clear notes that provide context, smooth transitions between cases, and background information.

This focused casebook:

• is based on material in Part III of the parent book, “Institutions, Providers, and the State,” and also draws from the sections that discuss duty to treat, hospital liability, managed care liability, and regulating access to drugs.
• includes material specifically developed for this title:

Heckler v. Ringer and Daniels v. Wadley —on review of Medicare decisions
• Medicare and Medicaid patient appeal procedures
Irvington General Hospital v. Department of Health —on certificates of need
Bryan v. James E. Holmes Regional Medical Center —on peer review immunity

• is supported by a comprehensive web site,, that provides background materials, updates of important events, additional relevant topics and links to other resources on the Internet.

The Second Edition has been carefully updated; timely discussions include:

• Massachusetts’s plan for universal health coverage
• The controversy over how hospitals bill uninsured patients
• Health savings accounts and consumer-driven health care
Retail Industry Leaders Association v. Fielder — on ERISA pre-emption of Maryland’s “Wal-Mart law”
Valley Hospital v. Kroll — on patients’ contractual obligations for medical bills
Chaoulli v. Quebec — on the constitutionality of Canada’s social insurance system

The Law of Health Care Finance and Regulation, Second Edition, is the perfect tool for teaching a specialized course about the many issues involved in the regulation and financing of health care.

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Product Details

  • ISBN-13: 9780735572997
  • Publisher: Wolters Kluwer Law & Business
  • Publication date: 2/28/2008
  • Edition description: Older Edition
  • Edition number: 2
  • Pages: 617
  • Product dimensions: 7.00 (w) x 9.80 (h) x 1.20 (d)

Table of Contents

Chapter 1. Introduction

A. Overview Cases
B. The Nature of Medical Practice
C. The Health Care Financing and Delivery System
D. Moral, Economic, and Political Themes

Chapter 2. Institutional Liability

A. The Duty to Treat
B. Hospital Liability
C. Managed Care Liability

Chapter 3. Health Care Financing and Reform

A. Sources of Health Insurance
B. Insurance and HMO Regulation
C. ERISA Preemption
D. Health Insurance Coverage
E. Provider Reimbursement
F. Health Insurance Reform

Chapter 4. Regulation of Health Care Facilities and Transactions

A. Professional and Facility Regulation
B. Corporate Form
C. Medical Staff Structure
D. Antitrust Law
E. Referral Fee Laws

Glossary of Organizational Terms and Acronyms
Table of Cases

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